Transcatheter Arterial Embolization for Ruptured Hepatoblastoma: 3 Case Reports

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  • Banno Shinya
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine Department of Surgical Oncology, Gifu University
  • Fumino Shigehisa
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Kato Takazumi
    Department of Surgical Oncology, Gifu University
  • Takayama Shohei
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Aoi Shigeyoshi
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Furukawa Taizo
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine
  • Ozeki Michio
    Department of Pediatrics, Gifu University
  • Yoshida Kazuhiro
    Department of Surgical Oncology, Gifu University
  • Tajiri Tatsuro
    Department of Pediatric Surgery, Kyoto Prefectural University of Medicine

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Other Title
  • 経カテーテル動脈塞栓術を施行した肝芽腫破裂3例の検討
  • 経カテーテル動脈塞栓術を施行した胚芽腫破裂3例の検討
  • ケイ カテーテル ドウミャク ソクセンジュツ オ シコウ シタ ハイガ シュ ハレツ 3レイ ノ ケントウ

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Abstract

<p>Rupture of hepatoblastoma can be fatal due to hemorrhagic shock. We report three cases of ruptured hepatoblastoma treated with transcatheter arterial embolization (TAE) followed by systemic chemotherapy and hepatectomy. A 10-month-old girl was transferred to our institute by helicopter for emergency TAE followed by 4 courses of CITA and right lobectomy. A 6-year-old boy presented with sudden onset of shock during close examination of liver tumor. Emergency TAE was performed, and underwent left lobectomy after 6 courses of CITA. 1.5 years later, resection was performed for local recurrence. A 2-year-old boy went into shock during transfer to the hospital and underwent emergency TAE for hemostasis. He underwent 4 courses of C5VD followed by right lobectomy. Prompt access to and completion of TAE can save lives in cases of ruptured hepatoblastoma. After hemostasis, chemotherapy should be prioritized to reduce the size of the tumor, and then tumor resection should be performed.</p>

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