Open AccessAn ischemic skin lesion after chemoembolization of the right internal mammary artery in a patient with hepatocellular carcinoma
Author(s) -
Jae Hoon Lee,
Chae Yoon Chon,
Sang Hoon Ahn,
Byoung-San Moon,
Jae Hak Kim,
Yong Han Paik,
Kwang Hyub Han,
Jong Tae Lee,
Do Yun Lee,
Young Myoung Moon
Publication year - 2001
Publication title -
yonsei medical journal/yonsei medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.702
H-Index - 63
eISSN - 1976-2437
pISSN - 0513-5796
DOI - 10.3349/ymj.2001.42.1.137
Subject(s) - medicine , hepatocellular carcinoma , lipiodol , radiology , transcatheter arterial chemoembolization , embolization , lesion , artery , arterial embolization , selective internal radiation therapy , surgery
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.