肺癌終末期患者の口腔内転移巣に対しn-butyl 2-cyanoacrylate（ヒストアクリル®）を用いて血管塞栓術を行った1例

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  • Case report: Transcatheter arterial embolization of an end-stage lung cancer metastatic lesion in the oral cavity using n-butyl 2-cyanoacrylate (Histoacryl®)
  • ハイガン シュウマツキ カンジャ ノ コウコウ ナイ テンイ ソウ ニ タイシ n-butyl 2-cyanoacrylate(ヒストアクリル)オ モチイテ ケッカン ソクセンジュツ オ オコナッタ 1レイ

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Transcatheter arterial embolization (TAE) is recognised as an effective hemostasis and pre-surgery tumor reducement procedure. We have in the past applied it as part of superselective intra-arterial chemotherapy for selected cases of oral cancer. The case discussed herein involved end-stage lung cancer that had metastasized to the oral cavity. The patient had not been told that the oral lesion was malignant, but desired treatment due to malodor and bleeding. His family wanted to free him from pain and other discomfort without disclosure.<br>We performed TAE using Histoacryl®, the goal being to eliminate the bleeding and malodor emanating from the necrotic tissue. Three days after commencement of TAE it was evident that the necrotic tissue was shedding. After six days the discomfort that the patient and his family had complained of had disappeared.<br>We consider that this technique can improve the quality of life of patients with end-stage cancer and is thus useful in their treatment.

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