Intraarterial embolization combined with resection for the treatment of huge tumors in the buttocks
10.3760/cma.j.issn.1007-631X.2009.04.013
- VernacularTitle:介入栓塞联合手术切除治疗臀部巨大肿瘤
- Author:
Biming LIU
;
Yu ZHAO
;
Hua ZHANG
;
Yongqiang LI
;
Lai WEI
- Publication Type:Journal Article
- Keywords:
Neoplasms;
Surgical procedures,operative;
Buttocks;
Interventional embolism
- From:
Chinese Journal of General Surgery
2009;24(4):304-306
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate a combination therapy for huge tumors in the buttocks.Methods A total of 11 patients from our hospital were collected,among them 5 cases were of hemangioma,4 cases of neurofibroma,2 cases of soft tissue sarcoma.Before definite surgical resection all cases received tumor embolization with silk thread and gelatin-sponge article using Seldinger's technic.Subsequently,all patients underwent a successful tumor resection. Results Superselective embolization for all the cases'feeding arteries resulted in recession of the tumors and relatively well-demarcated margins,and all the lumps became softer.and the local pain was alleviated.Surgical resection could be radical with avoidance of fatal intraoperative hemorrhage.The 5 cases of hemangioma had a average operative bleeding of 450 ml,4 cases of neurofibroma had 420 ml,2 cases of soft tissue sarcoma had 150 ml.No patients needed intraoperative and postoperative blood transfusion.The operation time was about 2-3 hours,the normal tissues were preserved and the contour and function of the diseased limbs were very good.One case had a delayed incision healing,and the others had a healing by the first intention.There was no recurrence and other complications (like deep venous thrombosis)during a follow-up period of 4-8 months. Conclusions Surgical resection combined with interventional embolism for the treatment of huge tumors in the buttocks can reduce the risk of bleeding effectively during operation.It can improve the success rate of operation leading to satisfactory results.
