Arterial embolization for massive bleeding from a locally advanced breast tumor.

Autor:	Le Tat T; Department of Interventional Radiology, Centre Hospitalier Sud Francilien, 40 Avenue Serge Dassault, Corbeil-Essonnes 91100, France.; Department of Radiology, Hôpital National d'Instruction des Armées Percy, 2 Rue Lieutenant Raoul Batany, Clamart 92140, France.; Department of Radiology, Hôpital Ambroise Paré (AP-HP), 9 Av. Charles de Gaulle, Boulogne-Billancourt 92100, France., Jost R; Department of Interventional Radiology, Centre Hospitalier Sud Francilien, 40 Avenue Serge Dassault, Corbeil-Essonnes 91100, France., Kuoch V; Department of Interventional Radiology, Centre Hospitalier Sud Francilien, 40 Avenue Serge Dassault, Corbeil-Essonnes 91100, France., Carlier RY; Department of Radiology, Hôpital Ambroise Paré (AP-HP), 9 Av. Charles de Gaulle, Boulogne-Billancourt 92100, France., El Hajjam M; Department of Radiology, Hôpital Ambroise Paré (AP-HP), 9 Av. Charles de Gaulle, Boulogne-Billancourt 92100, France., Zhou J; Department of Radiology, Hôpital Ambroise Paré (AP-HP), 9 Av. Charles de Gaulle, Boulogne-Billancourt 92100, France.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2024 Aug 13; Vol. 19 (11), pp. 4698-4701. Date of Electronic Publication: 2024 Aug 13 (Print Publication: 2024).
DOI:	10.1016/j.radcr.2024.07.050
Abstrakt:	Advances in breast cancer treatment have markedly reduced the incidence of massive bleeding, yet severe hemorrhage remains a critical issue in locally advanced or metastatic cases. Traditional management strategies often prove inadequate for significant bleeding, highlighting the need for alternative interventions. We detail the management of a 64-year-old patient with a neglected locally advanced breast tumor, leading to life-threatening hemorrhage. Conventional bleeding control measures failed, necessitating microsphere embolization. Effective hemostasis was achieved without adverse events or recurrence of bleeding, allowing for the initiation of chemotherapy. This case underscores the rarity yet potential severity of hemorrhage in breast cancer, challenging conventional management. Embolization, typically reserved for other hemorrhagic conditions, is appearing as a viable alternative for breast cancer-related hemorrhage, particularly in large tumors where surgery is impractical. Further research is necessary to establish its role in managing minor bleeding. (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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