Clinical Pediatric Hematology-Oncology  2018;25(2):197-201

doi:10.15264/cpho.2018.25.2.197

Two Pediatric Cases of Spontaneous Ruptured Solid Tumors Successfully Treated with Transcutaneous Arterial Embolization.

Kyo Jin JO 1 ; Eu Jeen YANG ; Kyung Mi PARK ; Jin Heyok KIM ; Ung Bae JEON ; Joo Yeon JANG ; Young Tak LIM

Affiliations

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Keywords

Ruptured solid tumor; Transcatheter arterial embolization; Children

Country

Republic 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.