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Minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation: A case report

BACKGROUND: Hepatic hemangioma is the most common benign tumor of the liver. However, patients with large hemangiomas that cause compression symptoms or that are at risk of rupture may need further intervention. It is necessary to explore additional minimally invasive and personalized treatment opti...

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Autores principales: Wang, Lie-Zhi, Wang, Kun-Peng, Mo, Jing-Gang, Wang, Guo-Yu, Jin, Chong, Jiang, Hao, Feng, Yi-Fu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8409202/
https://www.ncbi.nlm.nih.gov/pubmed/34540972
http://dx.doi.org/10.12998/wjcc.v9.i24.7154
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author Wang, Lie-Zhi
Wang, Kun-Peng
Mo, Jing-Gang
Wang, Guo-Yu
Jin, Chong
Jiang, Hao
Feng, Yi-Fu
author_facet Wang, Lie-Zhi
Wang, Kun-Peng
Mo, Jing-Gang
Wang, Guo-Yu
Jin, Chong
Jiang, Hao
Feng, Yi-Fu
author_sort Wang, Lie-Zhi
collection PubMed
description BACKGROUND: Hepatic hemangioma is the most common benign tumor of the liver. However, patients with large hemangiomas that cause compression symptoms or that are at risk of rupture may need further intervention. It is necessary to explore additional minimally invasive and personalized treatment options for hemangiomas. CASE SUMMARY: A 47-year-old woman was diagnosed with a right hepatic hemangioma for more than 10 years. Abdominal contrast-enhanced computed tomography (CT) and contrast-enhanced ultrasound revealed that there was a large hemangioma in the right liver, with a size of approximately 95 mm × 97 mm × 117 mm. Due to the patient's refusal of surgical treatment, hepatic artery embolization was performed in the first stage. After 25 d of liver protection treatment, the liver function indexes decreased to normal levels. Then, ultrasound-guided microwave ablation of the giant hepatic hemangioma was performed. Ten days after the treatment, hepatobiliary ultrasonography showed that the hemangioma of the right liver was smaller than the previous size (the volume was reduced by approximately 30%). Then the patient was discharged from the hospital. One year after discharge, CT showed that the hepatic hemangioma had shrunk by about 80% CONCLUSION: Transcatheter arterial embolization combined with microwave ablation is a safe and effective minimally invasive treatment for hepatic hemangioma.
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spelling pubmed-84092022021-09-16 Minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation: A case report Wang, Lie-Zhi Wang, Kun-Peng Mo, Jing-Gang Wang, Guo-Yu Jin, Chong Jiang, Hao Feng, Yi-Fu World J Clin Cases Case Report BACKGROUND: Hepatic hemangioma is the most common benign tumor of the liver. However, patients with large hemangiomas that cause compression symptoms or that are at risk of rupture may need further intervention. It is necessary to explore additional minimally invasive and personalized treatment options for hemangiomas. CASE SUMMARY: A 47-year-old woman was diagnosed with a right hepatic hemangioma for more than 10 years. Abdominal contrast-enhanced computed tomography (CT) and contrast-enhanced ultrasound revealed that there was a large hemangioma in the right liver, with a size of approximately 95 mm × 97 mm × 117 mm. Due to the patient's refusal of surgical treatment, hepatic artery embolization was performed in the first stage. After 25 d of liver protection treatment, the liver function indexes decreased to normal levels. Then, ultrasound-guided microwave ablation of the giant hepatic hemangioma was performed. Ten days after the treatment, hepatobiliary ultrasonography showed that the hemangioma of the right liver was smaller than the previous size (the volume was reduced by approximately 30%). Then the patient was discharged from the hospital. One year after discharge, CT showed that the hepatic hemangioma had shrunk by about 80% CONCLUSION: Transcatheter arterial embolization combined with microwave ablation is a safe and effective minimally invasive treatment for hepatic hemangioma. Baishideng Publishing Group Inc 2021-08-26 2021-08-26 /pmc/articles/PMC8409202/ /pubmed/34540972 http://dx.doi.org/10.12998/wjcc.v9.i24.7154 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Wang, Lie-Zhi
Wang, Kun-Peng
Mo, Jing-Gang
Wang, Guo-Yu
Jin, Chong
Jiang, Hao
Feng, Yi-Fu
Minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation: A case report
title Minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation: A case report
title_full Minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation: A case report
title_fullStr Minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation: A case report
title_full_unstemmed Minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation: A case report
title_short Minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation: A case report
title_sort minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8409202/
https://www.ncbi.nlm.nih.gov/pubmed/34540972
http://dx.doi.org/10.12998/wjcc.v9.i24.7154
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