title: [Surgical removal of renal cell carcinoma after partial splenic embolization in a patient with liver cirrhosis: a case report].
abstract: Partial splenic embolization is used to treat patients with liver cirrhosis accompanied by hypersplenism for improving thrombocytopenia and leukopenia. We report a case in which partial splenic embolization was used before nephrectomy because both renal cell carcinoma and liver cirrhosis were present. A 75-year-old woman visited our hospital complaining of abdominal distension. Computed tomography revealed a 5.5 cm left renal tumor. Liver cirrhosis, ascitis, splenomegaly was observed. Blood tests revealed pancytopenia; platelet count was 2.9 x 10(4)/mm3. The patient was treated by partial splenic embolization in an attempt to ensure a safe nephrectomy. After the embolization, her platelet count increased immediately to 19.2 x 10(4)/mm3, and left nephrectomy was performed successfully.
authors.affiliation: Department of Urology, Chigasaki Municipal Hospital.
authors.forename: K
authors.initials: K
authors.lastname: Makiyama
authors.forename: Y
authors.initials: Y
authors.lastname: Senga
authors.forename: A
authors.initials: A
authors.lastname: Gotou
authors.forename: T
authors.initials: T
authors.lastname: Sakuramoto
authors.forename: Y
authors.initials: Y
authors.lastname: Hata
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000150:complications / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006801:Humans; D006971:Hypersplenism / Q000150:complications / Q000628:therapy*; D007680:Kidney Neoplasms / Q000150:complications / Q000601:surgery*; D008103:Liver Cirrhosis / Q000150:complications*; D011300:Preoperative Care