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題名 | Supraumbilical Skin Rash and Fat Necrosis after Transcatheter Arterial Chemoembolization: A Case Report=肝癌病人肝動脈栓塞後併發臍上紅疹及脂肪壞死--病例報告 |
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作者 | 林昭君; 吳定國; 石明誠; 劉金昌; 莊萬龍; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 20:1 2004.01[民93.01] |
頁次 | 頁36-40 |
分類號 | 416.246 |
關鍵詞 | 鐮狀動脈; 經肝動脈化學栓塞; 肝細胞癌; Falciform artery; Transcatheter arterial chemoembolization; Hepatocellular carcinoma; |
語文 | 英文(English) |
中文摘要 | 本文報告一位 63 歲慢性 C 型肝炎女性,診斷為罹患左肝內葉肝細胞癌,經肝動脈血管攝影顯示出一條彎曲可見的鐮狀動脈 (falciform artery)由左肝動脈內側分枝分出。在接受左肝動脈化學栓塞術後,病人於翌日併發臍上紅疹及局部疼痛。皮膚科醫師給予保守治療,病人的腹部紅疹在一年內慢慢消退,但表皮變的不平整且有一個皮下小結節。一年後,病灶的皮膚切片顯示了脂肪壞死及對異物的反應與纖維化。在此歸納出少見的肝動脈栓塞後併發症其可能的原因並整理相關的文獻報告。 |
英文摘要 | We report the case of a 63-year-old female who had chronic hepatitis C and who was diagnosed with hepatocellular carcinoma. Hepatic angiography showed one visible and tortuous falciform artery arising as the terminal branch of the left hepatic artery. Transcatheter arterial chemoembolization (TACE) was performed via the left hepatic artery. The patient developed supraumbilical skin rash with local tenderness on the following day. After supportive treatment by a dermatologist, the skin rash subsided gradually with sequelae of irregular skin surface and one small subcutaneous nodule. Skin biopsy of the lesion 1 year later showed fat necrosis with foreign body reaction and fibrosis. We discuss this rare complication of TACE and review the literature. |
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