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.
"},{"@language":"ja","@value":"症例は67歳男性．切除不能進行胃がんへの化学療法が奏功せず，外来にて症状緩和を行っていた．自宅で過ごされていたが，体動困難となり，救急外来を受診．Hb値3.4 g/dlと高度貧血を認め，進行胃がんからの出血と診断．入院のうえ緩和的放射線治療を開始したが，連日輸血を行うもHb値は改善せず，入院4日目の内視鏡検査にて漏出性出血（oozing bleeding）を認めた．入院11日目のHb値2.8 g/dlであり，照射継続での止血は困難と判断し，同日に血管塞栓術（TAE）を施行した．TAE後は輸血にてHb値8.0 g/dlまで改善．その後，輸血は不要となり，入院28日目に転院となった．出血性進行胃がんに対する緩和的放射線治療の高い有効性が報告されているが，奏功しなかった場合の救済治療に苦慮することがある．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，TAEが有効な救済治療となった1例を報告する．
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