title: Successful treatment for bronchial bleeding from invasive pulmonary metastasis of hepatocellular carcinoma: a case report.
abstract: Pulmonary metastasis is frequently seen in patients with advanced hepatocellular carcinoma. However, information is limited concerning life-threatening complications and effective treatment of pulmonary metastasis because of the poor prognosis of patients with advanced hepatocellular carcinoma. Recent remarkable progress in detection and treatment of hepatocellular carcinoma has improved prognosis, making management of pulmonary metastasis an important clinical issue. We describe a 68-year-old man with pulmonary metastasis of hepatocellular carcinoma and sudden onset of hemoptysis from bronchial invasion. Transcatheter embolization was performed successfully via the bronchial artery with disappearance of bloody sputum. Peribronchial pulmonary metastasis of hepatocellular carcinoma can cause life-threatening hemoptysis. Transcatheter arterial embolization may be one of therapeutics for hemoptysis from invasive pulmonary metastasis of hepatocellular carcinoma.
authors.affiliation: Second Department of Medicine, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan. takumi@med.kurume-u.ac.jp
authors.forename: T
authors.initials: T
authors.lastname: Kawaguchi
authors.forename: M
authors.initials: M
authors.lastname: Tanaka
authors.forename: S
authors.initials: S
authors.lastname: Itano
authors.forename: N
authors.initials: N
authors.lastname: Ono
authors.forename: Y
authors.initials: Y
authors.lastname: Shimauchi
authors.forename: H
authors.initials: H
authors.lastname: Nagamatsu
authors.forename: S
authors.initials: S
authors.lastname: Sakisaka
authors.forename: M D
authors.initials: MD
authors.lastname: Dake
authors.forename: K
authors.initials: K
authors.lastname: Tanikawa
authors.forename: M
authors.initials: M
authors.lastname: Sata
mesh_terms: D000368:Aged; D001981:Bronchial Arteries / Q000000981:diagnostic imaging; D006528:Carcinoma, Hepatocellular / Q000556:secondary* / Q000628:therapy; D004621:Embolization, Therapeutic; D006469:Hemoptysis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008113:Liver Neoplasms / Q000628:therapy*; D008175:Lung Neoplasms / Q000556:secondary* / Q000628:therapy; D008297:Male; D009361:Neoplasm Invasiveness; D011859:Radiography; D012008:Recurrence