title: Sloughing of intraductal tumor thrombus of hepatocellular carcinoma after transcatheter arterial chemoembolization.
abstract: Transcatheter arterial chemoembolization (TACE) is effective for hepatocellular carcinoma (HCC) with intrabile duct thrombus. After TACE, intraductal tumor thrombi occasionally detach from the intrahepatic tumor and drop into the bottom of the common bile duct, causing clinical symptoms similar to the impaction of choledocholithiasis. The investigators describe three cases of sloughing of HCC intraductal tumor thrombi after selective TACE. In each of the three cases, the necrotic tumor cast was successfully removed endoscopically, and the patient's symptoms were dramatically improved. Two patients survived without recurrence of the intraductal tumor thrombus for 8 and 11 months after TACE, respectively.
authors.affiliation: Department of Radiology, Fukuiken Saiseikai Hospital, 7-1 Funabashi, Wadanaka-cho, Fukui 918-8503, Japan. kusanagi_miho@mbr.nifty.com
authors.forename: Miho
authors.initials: M
authors.lastname: Okuda
authors.forename: Shiro
authors.initials: S
authors.lastname: Miyayama
authors.forename: Masashi
authors.initials: M
authors.lastname: Yamashiro
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Yoshie
authors.forename: Natsuki
authors.initials: N
authors.lastname: Sugimori
authors.forename: Saya
authors.initials: S
authors.lastname: Igarashi
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Nakashima
authors.forename: Taku
authors.initials: T
authors.lastname: Sanada
authors.forename: Shotaro
authors.initials: S
authors.lastname: Kosaka
authors.forename: Daishu
authors.initials: D
authors.lastname: Toya
authors.forename: Osamu
authors.initials: O
authors.lastname: Matsui
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000628:therapy*; D016461:Chemoembolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging / Q000628:therapy; D013927:Thrombosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed