[A case of liver metastasis of gastric leiomyosarcoma successfully treated by transarterial hepatic chemo-embolization and intra hepato-arterial chemotherapy repeated with infusion-a-port].
The patient was a 68-year-old male, who underwent total gastrectomy for giant leiomyosarcoma of the stomach and then had multiple hepatic metastases one year and six months later. Thus, transarterial hepatic chemo-embolization therapy with Lipiodol, adriamycin and gelfoam was given. Moreover, using a reservoir catheter and infusion arterial port, intermittent arterial infusion therapy with adriamycin, cyclophosphamide, and vincristine was attempted. In the metastasis lesion where there were rich blood vessels, Lipiodol was accumulated and the tumor was reduced on abdominal CT. The result indicated the efficacy of this treatment.
Miya
A
A
Dept. of Surgery, Sakai Municipal Hospital.
Yasuda
S
S
Morimoto
O
O
Tsuji
Y
Y
Shiozaki
K
K
Baba
M
M
Ishida
H
H
Masutani
S
S
Tatsuta
M
M
Kawasaki
T
T
Satomi
T
T
D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D016461:Chemoembolization, Therapeutic; D003520:Cyclophosphamide / Q000008:administration & dosage; D004317:Doxorubicin / Q000008:administration & dosage; D005781:Gelatin Sponge, Absorbable / Q000008:administration & dosage; D006499:Hepatic Artery; D006801:Humans; D015918:Infusion Pumps, Implantable; D007261:Infusions, Intra-Arterial; D007459:Iodized Oil / Q000008:administration & dosage; D007890:Leiomyosarcoma / Q000556:secondary* / Q000628:therapy*; D008113:Liver Neoplasms / Q000556:secondary* / Q000628:therapy*; D008297:Male; D013274:Stomach Neoplasms / Q000473:pathology*; D014750:Vincristine / Q000008:administration & dosage
D014750:Vincristine; D007459:Iodized Oil; D004317:Doxorubicin; D003520:Cyclophosphamide