An ischemic skin lesion after chemoembolization of the right internal mammary artery in a patient with hepatocellular carcinoma.

J. H. Lee, C. Y. Chon, SangHoon Ahn, B. S. Moon, J. H. Kim, Y. H. Paik, KwangHyub Han, J. T. Lee, D. Y. Lee, Y. M. Moon

Research output: Contribution to journalArticle

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Abstract

A huge nodular hepatocellular carcinoma located at the anterior superior portion of the left lobe in a patient with hepatocellular carcinoma was treated with transcatheter arterial chemoembolization through the left hepatic artery. Three months later, however, there was a re-elevation of the serum alpha-fetoprotein level and evidence of a marginal recurrence at the left side of the previously embolized tumor was noted on the postembolization computed tomographic scan. Although the hepatic artery was intact in the second hepatic arteriography, we found that the right internal mammary artery was feeding the recurred hepatocellular carcinoma. This internal mammary artery was successfully treated with Lipiodol-transcatheter arterial chemoembolization. However, an ischemic lesion occurred in the skin of the anterior chest and abdominal wall several days after internal mammary artery embolization. We report here a very rare case of ischemic skin lesion on the anterior chest and abdominal wall following transcatheter arterial chemoembolization of the right internal mammary artery. This internal mammary artery was embolized because it had developed a collateral tumor feeding vessel following the initial chemoembolization of a hepatocellular carcinoma.

Original languageEnglish
Pages (from-to)137-141
Number of pages5
JournalYonsei Medical Journal
Volume42
Issue number1
DOIs
Publication statusPublished - 2001 Jan 1

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Mammary Arteries
Hepatocellular Carcinoma
Skin
Hepatic Artery
Abdominal Wall
Thoracic Wall
Ethiodized Oil
alpha-Fetoproteins
Neoplasms
Angiography
Recurrence
Liver
Serum

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Lee, J. H. ; Chon, C. Y. ; Ahn, SangHoon ; Moon, B. S. ; Kim, J. H. ; Paik, Y. H. ; Han, KwangHyub ; Lee, J. T. ; Lee, D. Y. ; Moon, Y. M. / An ischemic skin lesion after chemoembolization of the right internal mammary artery in a patient with hepatocellular carcinoma. In: Yonsei Medical Journal. 2001 ; Vol. 42, No. 1. pp. 137-141.
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An ischemic skin lesion after chemoembolization of the right internal mammary artery in a patient with hepatocellular carcinoma. / Lee, J. H.; Chon, C. Y.; Ahn, SangHoon; Moon, B. S.; Kim, J. H.; Paik, Y. H.; Han, KwangHyub; Lee, J. T.; Lee, D. Y.; Moon, Y. M.

In: Yonsei Medical Journal, Vol. 42, No. 1, 01.01.2001, p. 137-141.

Research output: Contribution to journalArticle

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AU - Kim, J. H.

AU - Paik, Y. H.

AU - Han, KwangHyub

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AU - Moon, Y. M.

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N2 - A huge nodular hepatocellular carcinoma located at the anterior superior portion of the left lobe in a patient with hepatocellular carcinoma was treated with transcatheter arterial chemoembolization through the left hepatic artery. Three months later, however, there was a re-elevation of the serum alpha-fetoprotein level and evidence of a marginal recurrence at the left side of the previously embolized tumor was noted on the postembolization computed tomographic scan. Although the hepatic artery was intact in the second hepatic arteriography, we found that the right internal mammary artery was feeding the recurred hepatocellular carcinoma. This internal mammary artery was successfully treated with Lipiodol-transcatheter arterial chemoembolization. However, an ischemic lesion occurred in the skin of the anterior chest and abdominal wall several days after internal mammary artery embolization. We report here a very rare case of ischemic skin lesion on the anterior chest and abdominal wall following transcatheter arterial chemoembolization of the right internal mammary artery. This internal mammary artery was embolized because it had developed a collateral tumor feeding vessel following the initial chemoembolization of a hepatocellular carcinoma.

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