Successful Transcatheter Arterial Embolization to Control Intratumoral Hemorrhage in Clear-Cell Sarcoma of the Kidney
| العنوان: | Successful Transcatheter Arterial Embolization to Control Intratumoral Hemorrhage in Clear-Cell Sarcoma of the Kidney |
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| المؤلفون: | Yasuhiko Itoh, Yujiro Tanabe, Toshikazu Itabashi, Miho Maeda, Ryoichi Uchimura, Takahiro Ueda, Tsubasa Takahashi |
| المصدر: | Journal of Nippon Medical School. 89:233-237 |
| بيانات النشر: | Medical Association of Nippon Medical School, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Clear-cell sarcoma of the kidney, medicine.medical_treatment, Hemorrhage, Kidney, Inferior mesenteric artery, 03 medical and health sciences, Renal Artery, 0302 clinical medicine, Celiac artery, medicine.artery, medicine, Humans, Embolization, Child, Chemotherapy, business.industry, Arterial Embolization, Sarcoma, General Medicine, Abdominal distension, medicine.disease, Embolization, Therapeutic, Kidney Neoplasms, Nephrectomy, Surgery, 030220 oncology & carcinogenesis, Female, 030211 gastroenterology & hepatology, medicine.symptom, business |
| الوصف: | Clear cell sarcoma of the kidney (CCSK) is a rare aggressive pediatric renal tumor. Intratumoral hemorrhage and tumor rupture are considered as oncologic emergencies, requiring a quick and appropriate response. Herein, we report the case of an 11-year-old boy, who visited our hospital with abdominal distension that started a month earlier. Computed tomography (CT) revealed a tumor in the left kidney (size: 200 mm), and a diagnosis of CCSK was established with a biopsy. Chemotherapy was initiated to shrink the large and densely vascularized tumor before surgical removal. Two days after initiating chemotherapy, the patient developed abdominal and back pain, anemia, and hypotension. The CT scan showed intratumoral bleeding. Emergency transcatheter arterial embolization (TAE) was performed to control the bleeding. Three tumor feeding vessels were identified: an ascending branch from the celiac artery, an intermediate branch from the left renal artery, and a descending branch from the inferior mesenteric artery, of which the intermediate and descending branches were large and bleeding profusely; therefore, the intermediate branch was injected with ethanol and the descending branch was subjected to gel-foam embolization. Chemotherapy was resumed, and the patient's condition stabilized gradually. The tumor began to shrink, and subsequent chemotherapy progressed well. In week 12 of chemotherapy, the patient underwent tumor resection and left nephrectomy. Postoperative chemotherapy was completed without complications, and there was no recurrence during a 6-year follow-up. Therefore, TAE can effectively control intratumoral bleeding in pediatric solid tumors and consequently prevent an unnecessary high-risk open surgical procedure. |
| تدمد: | 1347-3409 1345-4676 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a4fcf51e9e786f4257b2c185234635b9Test https://doi.org/10.1272/jnms.jnms.2022_89-108Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a4fcf51e9e786f4257b2c185234635b9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13473409 13454676 |
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