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Unusual Severe Complication Following Transarterial Chemoembolization for Metastatic Malignant Melanoma: Giant Intrahepatic Cyst and Fatal Hepatic Failure

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Abstract

We describe a 45-year-old male patient with malignant melanoma who underwent hepatic arterial chemoembolization due to liver metastases. Four months after the procedure, the patient developed a giant cystic cavity in the liver. Cytologic examination of the cystic fluid retention revealed necrotic tumor material. The fluid was drained by percutaneous catheter, but the patient developed hepatic failure. This case represents another rare complication of transarterial chemoembolization and shows that transarterial chemoembolization may have rare fatal complications.

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Authors and Affiliations

  1. Department of Medical Oncology and Bone Marrow Transplantation Unit, GATA (Gulhane) Faculty of Medicine Gn. Dr. Tevfik Saglam caddesi, 06018, Etlik, Ankara, Turkey

    Selmin Ataergin, Ahmet Ozet & Fikret Arpaci

  2. Department of Radiology, GATA (Gulhane) Faculty of Medicine, 06018, Etlik, Ankara, Turkey

    Mustafa Tasar

  3. Department of Blood & Marrow Transplant, Ireland Cancer Center, University Hospitals Case Medical Center, Case Western Reserve University, 11100 Euclid Avenue, Mail Code WRN5065, Cleveland, OH, 44106, USA

    Luis Solchaga

Authors
  1. Selmin Ataergin
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  2. Mustafa Tasar
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  3. Luis Solchaga
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  4. Ahmet Ozet
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  5. Fikret Arpaci
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Correspondence to Selmin Ataergin.

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Ataergin, S., Tasar, M., Solchaga, L. et al. Unusual Severe Complication Following Transarterial Chemoembolization for Metastatic Malignant Melanoma: Giant Intrahepatic Cyst and Fatal Hepatic Failure. Cardiovasc Intervent Radiol 32, 361–364 (2009). https://doi.org/10.1007/s00270-008-9451-0

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  • DOI: https://doi.org/10.1007/s00270-008-9451-0

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