Perivascular parenchymal extension of the ablation zone following liver microwave ablation.

Autor: Singh S; Interventional Oncology Service, University College Hospital, University College London, London, UK., Siriwardana PN; Hepatopancreatobiliary and Liver Transplant Surgery Unit, Royal Free Hospital, University College London, London, UK., Johnston EW; Interventional Oncology Service, University College Hospital, University College London, London, UK., Bandula S; Interventional Oncology Service, University College Hospital, University College London, London, UK., Davidson BR; Hepatopancreatobiliary and Liver Transplant Surgery Unit, Royal Free Hospital, University College London, London, UK., Illing RO; Interventional Oncology Service, University College Hospital, University College London, London, UK.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2016 Mar 31; Vol. 2016. Date of Electronic Publication: 2016 Mar 31.
DOI: 10.1136/bcr-2015-212871
Abstrakt: A 69-year-old man who presented with abdominal discomfort was, on examination, found to have a palpable abdominal mass. Contrast-enhanced CT showed a mass arising from the inferior vena cava, which biopsy confirmed to be a leiomyosarcoma. One month after chemoradiotherapy, CT demonstrated a new 15 mm solitary central right liver metastasis. Microwave ablation (MWA) of the metastasis was performed using an Acculis Sulis V system (Angiodynamics, USA) at a power of 140 Watts for 4 min, with no immediate complications. After 1 month, MRI with gadolinium was performed to assess the liver ablation zone. The MRI demonstrated thrombosis of a right inferior hepatic vein branch leading to the ablation zone and extension of the ablation zone 1 cm into the tissue around the thrombosed vessel.
(2016 BMJ Publishing Group Ltd.)
Databáze: MEDLINE