Ruptured liver metastasis from pancreatic carcinoma treated with TAE and modified FOLFIRINOX chemotherapy
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- YAMAGO Hiroka
- Department of Gastroenterology, Ehime Prefectural Niihama Hospital Department of Gastroenterology, Ehime Prefectural Central Hospital
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- HANADA Keiji
- Department of Gastroenterology, JA Onomichi General Hospital
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- YAMAMOTO Takuya
- Department of Gastroenterology, JA Onomichi General Hospital
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- OKUDA Yasuhiro
- Department of Gastroenterology, JA Onomichi General Hospital
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- IKEDA Morito
- Department of Gastroenterology, JA Onomichi General Hospital
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- KURIHARA Keisuke
- Department of Gastroenterology, JA Onomichi General Hospital
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- SHIMIZU Akinori
- Department of Gastroenterology, JA Onomichi General Hospital
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- MATSUMOTO Nozomu
- Department of Gastroenterology, JA Onomichi General Hospital
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- KATAMURA Yoshio
- Department of Gastroenterology, JA Onomichi General Hospital
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- TAZUMA Susumu
- Department of Gastroenterology, JA Onomichi General Hospital
Bibliographic Information
- Other Title
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- 肝転移巣の破裂に対してTAEを施行し化学療法としてmodified FOLFIRINOXを導入し得た膵癌の1例
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Abstract
<p>A 42-year-old man presented with appetite-loss, abdominal discomfort and weight-loss. Enhanced CT scan revealed a tumor in the pancreatic head, hepatic hilar lymphadenopathy and a liver tumor with a final diagnosis of pancreatic carcinoma with liver metastasis and lymph node metastasis (T3N1M0 Stage IV). There was obstructive jaundice due to hilar adenopathy. Endoscopic drainage was performed for obstructive jaundice which led to resolution of jaundice and hospital discharge. Ten days later he presented with upper abdominal pain. Enhanced CT scan showed rupture of a liver metastasis from pancreatic carcinoma. Emergency transcatheter arterial embolization was performed to control bleeding. Chemotherapy was administered after bleeding was controlled. Rupture of metastatic liver lesions are rare, and there are only five previous reports of ruptured lesions from pancreatic cancer. In the present patient, there was a rapid increase in the liver metastasis, and blood vessel collapse due to increased intratumor pressure was suspected.</p>
Journal
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- Suizo
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Suizo 38 (1), 73-81, 2023-02-28
Japan Pancreas Society
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Keywords
Details 詳細情報について
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- CRID
- 1390013784268305920
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- ISSN
- 18812805
- 09130071
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed