An ischemic skin lesion after chemoembolization of the right internal mammary artery in a patient with hepatocellular carcinoma.
10.3349/ymj.2001.42.1.137
- Author:
Jae Hoon LEE
1
;
Chae Yoon CHON
;
Sang Hoon AHN
;
Byung Soo MOON
;
Jae Hak KIM
;
Yong Han PAIK
;
Kwang Hyub HAN
;
Jong Tae LEE
;
Do Yun LEE
;
Young Myoung MOON
Author Information
1. Department of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea. ingas@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Hepatocellular carcinoma;
internal mammary artery;
transcatheter arterial chemoembolization;
collateral;
complication
- MeSH:
Carcinoma, Hepatocellular/therapy*;
Case Report;
Chemoembolization, Therapeutic/adverse effects*;
Female;
Human;
Ischemia/etiology*;
Liver Neoplasms/therapy*;
Mammary Arteries*;
Middle Age;
Skin/blood supply*
- From:Yonsei Medical Journal
2001;42(1):137-141
- CountryRepublic of Korea
- Language:English
-
Abstract:
A huge nodular hepatocellular carcinoma located at the anterior superior portion of the left lobe in a patient with hepatocellular carcinoma was treated with transcatheter arterial chemoembolization through the left hepatic artery. Three months later, however, there was a re-elevation of the serum alpha-fetoprotein level and evidence of a marginal recurrence at the left side of the previously embolized tumor was noted on the postembolization computed tomographic scan. Although the hepatic artery was intact in the second hepatic arteriography, we found that the right internal mammary artery was feeding the recurred hepatocellular carcinoma. This internal mammary artery was successfully treated with Lipiodol-transcatheter arterial chemoembolization. However, an ischemic lesion occurred in the skin of the anterior chest and abdominal wall several days after internal mammary artery embolization. We report here a very rare case of ischemic skin lesion on the anterior chest and abdominal wall following transcatheter arterial chemoembolization of the right internal mammary artery. This internal mammary artery was embolized because it had developed a collateral tumor feeding vessel following the initial chemoembolization of a hepatocellular carcinoma.
