A Case of Bleeding Advanced Gastric Cancer Treated with Transcatheter Arterial Embolization (TAE) after Ineffective Palliative Radiotherapy (RT)

DOI Web Site 17 References Open Access
  • Tasaki Yutaro
    Department of Radiology, National Hospital Organization Nagasaki Medical Center Clinical Oncology Center, Nagasaki University Hospital
  • Makino Kenji
    Department of Radiology, National Hospital Organization Nagasaki Medical Center
  • Nakamura Daisuke
    Department of Radiology, National Hospital Organization Nagasaki Medical Center
  • Tetsuhiro Otsuka
    Department of Radiology, National Hospital Organization Nagasaki Medical Center
  • Kitamura Kei
    Department of Radiology, National Hospital Organization Nagasaki Medical Center
  • Fujimoto Toshifumi
    Department of Radiology, National Hospital Organization Nagasaki Medical Center
  • Miyazaki Atsushi
    Department of Radiology, National Hospital Organization Nagasaki Medical Center
  • Sugio Sayuri
    Department of Gastroenterology, National Hospital Organization Nagasaki Medical Center
  • Imamura Shoko
    Department of Gastroenterology, National Hospital Organization Nagasaki Medical Center

Bibliographic Information

Other Title
  • 緩和的放射線治療が奏功しない出血性進行胃がんに対し血管塞栓術（TAE）が有効であった1例
Published
2022
DOI
  • 10.2512/jspm.17.141
Publisher
Japanese Society for Palliative Medicine

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<p>A 67-year-old man with Stage IV gastric cancer (cT3N2M1) received chemotherapy. However, he had progressive disease and then, received palliative care. One day, he was admitted for difficulty in body movement. He had severe anemia (Hb: 3.4 g/dl) caused by tumor bleeding and needed frequent blood transfusions. Palliative radiotherapy (RT) was conducted to control the bleeding. However, hemostasis was not achieved despite daily palliative RT and blood transfusions. Gastrointestinal endoscopy showed oozing blood from gastric cancer and his Hb levels dropped to 2.8 g/dl. Transcatheter arterial embolization (TAE) with gelatin sponge was performed as salvage therapy. TAE was effective and his Hb levels improved to 8.0 g/dl, and he was discharged from the hospital. RT is an effective modality for gastric bleeding control in gastric cancer. However, salvage therapy is sometimes needed but difficult to conduct. TAE was effective salvage therapy in this case.</p>

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