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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

Journal of Medical Case Reports 1/2014

Selective embolization for hypervascular metastasis from differentiated thyroid cancer: a case series

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2014
Autoren:
Hee Young Son, Soo-Youn An, Eui Young Kim, Sang Bu Ahn, Byung Chul Lee
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-8-405) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

HY participated in the design of the study. HY, SY, EY and BC performed patient management. SB performed the embolization. HY drafted the manuscript, conceived of the study, and participated in its design and coordination and helped to draft the manuscript. All authors read and approved the final manuscript.

Abstract

Introduction

The technique of selective embolization has been applied for years in the treatment of vascular anomalies, severe hemorrhage, and for benign and malignant tumors. Some hypervascular skeletal metastases are prone to massive hemorrhage.

Case presentation

We describe the cases of two patients with thyroid carcinoma presenting with neuromuscular symptoms due to large skeletal metastases in the shoulder and sternum respectively. Pre-operative percutaneous selective catheterizations of the arteries feeding the metastatic tumors were performed, followed by infusion of gelfoam. The procedures were technically successful in both patients without adverse effects or bleeding. Complete resections of the skeletal metastases were then performed without substantial bleeding.

Conclusion

Selective embolization is an effective treatment for bony metastases from thyroid cancer.

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Zusatzmaterial
Authors’ original file for figure 1
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Authors’ original file for figure 7
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Authors’ original file for figure 8
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