Two Pediatric Cases of Spontaneous Ruptured Solid Tumors Successfully Treated with Transcutaneous Arterial Embolization.
10.15264/cpho.2018.25.2.197
- Author:
Kyo Jin JO
1
;
Eu Jeen YANG
;
Kyung Mi PARK
;
Jin Heyok KIM
;
Ung Bae JEON
;
Joo Yeon JANG
;
Young Tak LIM
Author Information
1. Department of Pediatrics, Pusan National University Children's Hospital, Yangsan, Korea. limyt@pusan.ac.kr
- Publication Type:Case Report
- Keywords:
Ruptured solid tumor;
Transcatheter arterial embolization;
Children
- MeSH:
Child;
Diagnosis;
Drug Therapy;
Emergencies;
Hemorrhage;
Hepatoblastoma;
Humans;
Infant;
Neuroblastoma;
Rupture;
Rupture, Spontaneous;
Shock, Hemorrhagic
- From:Clinical Pediatric Hematology-Oncology
2018;25(2):197-201
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spontaneous rupture with internal bleeding of solid tumors has rarely been described at the time of diagnosis or during chemotherapy. This rare event must be regarded as a life threatening condition. In these emergency situations, control of hemorrhage, which is life-saving, can be achieved by transcatheter arterial embolization (TAE) and/or surgical resection. This report describes two infants presenting with acute hemorrhagic shock due to spontaneous tumor rupture of hepatoblastoma and neuroblastoma during chemotherapy. TAE successfully arrested the tumor bleeding and a visibly reduced the tumor size in both children. Spontaneous rupture of solid tumors occur infrequently in children, but is a life threatening situation. Careful monitoring for the occurrence of this rare event especially in very young children presenting with a large tumor mass.
