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A case report--transarterial embolization for advanced gallbladder carcinoma with hepatic metastasis
Authors:Yanagawa Takehiro  Shimizu Junzo  Dono Keizo  Yasumoto Taku  Hata Tsuyoshi  Fujino Shiki  Kitahara Tomohiro  Munakata Koji  Watanabe Noriyuki  Takamoto Kaori  Nagai Kenichi  Miyake Masakazu  Hata Taishi  Kawanishi Kensyu  Ikeda Kimimasa  Fujita Junya  Akagi Kenzo  Iwasawa Takashi  Kitada Masashi  Shimano Takashi
Institution:Dept. of Surgery, Toyonaka Municipal Hospital.
Abstract:A 75-year-old female presented with appetite and weight loss and epigastralgia. CT revealed a primary gallbladder carcinoma Stage IVb with multiple hepatic metastases. Gastrofiberscopy revealed an invasion to duodenal and bleeding from the tumor. For her poor performance status, it seems to be too difficult to undergo a general chemotherapy. So after gastrojejunostomy, transarterial embolization (TAE) was performed. She underwent 2 times TAE. There was a notable reduction in tumor size. But pulmonary metastases were found in bilateral lung. She died after 8 months. TAE may be useful for advanced gallbladder carcinoma with tumor vascularity.
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