title: Transarterial embolization with use of lipiodol and gelatin sponge for active nasal bleeding from hepatocellular carcinoma metastasis in the pituitary gland.
abstract: A 58-year-old man presented with a very rare case of pituitary metastasis from hepatocellular carcinoma with active nasal bleeding which was treated by transarterial embolization using ethiodized oil (Lipiodol) and gelatin sponge. After treatment, nasal bleeding ceased and tumor size decreased. The prognosis for patients with pituitary metastases is very poor, so aggressive treatment is recommended to alleviate symptoms. This minimally invasive approach may be a reasonable therapeutic option for pituitary metastases.
authors.affiliation: Department of Endovascular Neurosurgery, Toranomon Hospital, Tokyo, Japan. t-tomojy@mx2.harmonix.ne.jp
authors.forename: Tomoji
authors.initials: T
authors.lastname: Takigawa
authors.forename: Yuji
authors.initials: Y
authors.lastname: Matsumaru
authors.forename: Mikito
authors.initials: M
authors.lastname: Hayakawa
authors.forename: Kenji
authors.initials: K
authors.lastname: Ikeda
authors.forename: Akira
authors.initials: A
authors.lastname: Matsumura
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000188:drug therapy / Q000556:secondary; D016461:Chemoembolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D004844:Epistaxis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D004998:Ethiodized Oil / Q000627:therapeutic use*; D017809:Fatal Outcome; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000188:drug therapy / Q000556:secondary; D008297:Male; D008875:Middle Aged; D010911:Pituitary Neoplasms / Q000150:complications / Q000188:drug therapy / Q000556:secondary
chemical_list: D000970:Antineoplastic Agents; D004998:Ethiodized Oil