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

 Jae Hoon Lee  ;  Chae Yoon Chon  ;  Sang Hoon Ahn  ;  Byung Soo Moon  ;  Jae Hak Kim  ;  Yong Han Paik  ;  Kwang Hyub Han  ;  Jong Tae Lee  ;  Do Yun Lee  ;  Young Myoung Moon 
 YONSEI MEDICAL JOURNAL, Vol.42(1) : 137-142, 2001 
Journal Title
Issue Date
Carcinoma, Hepatocellular/therapy* ; Chemoembolization, Therapeutic/adverse effects* ; Female ; Humans ; Ischemia/etiology* ; Liver Neoplasms/therapy* ; Mammary Arteries* ; Middle Aged ; Skin/blood supply*
hepatocellular carcinoma ; interna ; mammary artery ; transcatheter arterial chemoboliztion ; collateral ; complication
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 α-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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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Paik, Yong Han(백용한)
Ahn, Sang Hoon(안상훈) ORCID logo https://orcid.org/0000-0002-3629-4624
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