[Superselective transarterial embolisation of the hypogastric artery and it's branches in the management of unresectable intrapelvic malignant tumors with minor surgical procedures].
Three patients with recurrent uterine cancer, unresectable rectal cancer, and recurrent rectal cancer in the pelvis were treated by percutaneous superselective transarterial embolisation (TAE) of the hypogastric artery and it's branches with ethanol or gelatin sponge particles. TAE was performed for the control of life-threatening hemorrhage, severe pain and the diminishing tumor's bulk. In addition to conservative cares, this TAE needed minor surgical procedures such as urinary diversion, colostomy and drainage of abdominal abscess just when urinary bladder's necrosis, rectosigmoidal necrosis and peritonitis would be expected before and after the TAE. One local hematoma in the site inserted catheter and right ischiadic nerve paralysis occurred by TAE. Two patients died on 6 days and 2 months after TAE, respectively, however one patient is still alive one year after the TAE without the growth of tumours. As a result, this TAE with minor surgical procedures is expected as a suitable treatment for the improvement of the survival and quality of life in the patients with unresectable intrapelvic tumors.
Department of Emergency Medicine in Nagoya University School of Medicine, Japan.
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I
Ichimura
S
S
Kitagawa
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T
Yoneda
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I
Yokoyama
J
J
Akune
D000328:Adult; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged; D010386:Pelvic Neoplasms / Q000601:surgery / Q000628:therapy*; D012004:Rectal Neoplasms / Q000601:surgery / Q000628:therapy; D014547:Urinary Diversion; D014594:Uterine Neoplasms / Q000601:surgery / Q000628:therapy