Chemotherapy and embolization via the inferior epigastric artery for the treatment of primary and metastatic cancer.
We evaluated the results of arterial chemotherapy and embolization via the inferior epigastric artery and its branches in 10 patients with a variety of primary and metastatic neoplasms supplied by that vessel. A total of 15 infusions and five occlusions were performed. There were no complications related to arteriography, indwelling catheters, or arterial occlusion. The effects on tumor bulk ranged from complete necrosis in one patient to partial necrosis in three patients. Surgical resection was facilitated in four of six patients. Local recurrence of tumor occurred in two of these patients. Three of four patients with intractable pain had effective relief. Our experience suggests that transarterial therapy of tumors supplied by the inferior epigastric artery or its branches is a safe procedure and may be useful in tumor management.
Department of Diagnostic Radiology, University of Texas M.D., Anderson Cancer Center, Houston 77030.
F
F
O'Keeffe
J G
JG
Lorigan
C
C
Charnsangavej
C H
CH
Carrasco
W R
WR
Richli
S
S
Wallace
D000008:Abdominal Neoplasms / Q000556:secondary / Q000628:therapy*; D000328:Adult; D000970:Antineoplastic Agents / Q000008:administration & dosage*; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D007261:Infusions, Intra-Arterial; D008297:Male; D008875:Middle Aged; D010386:Pelvic Neoplasms / Q000556:secondary / Q000628:therapy*
D000970:Antineoplastic Agents