Transarterial embolization with use of lipiodol and gelatin sponge for active nasal bleeding from hepatocellular carcinoma metastasis in the pituitary gland

Neurol Med Chir (Tokyo). 2011;51(8):592-5. doi: 10.2176/nmc.51.592.

Abstract

A 58-year-old man presented with a very rare case of pituitary metastasis from hepatocellular carcinoma with active nasal bleeding which was treated by transarterial embolization using ethiodized oil (Lipiodol) and gelatin sponge. After treatment, nasal bleeding ceased and tumor size decreased. The prognosis for patients with pituitary metastases is very poor, so aggressive treatment is recommended to alleviate symptoms. This minimally invasive approach may be a reasonable therapeutic option for pituitary metastases.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Agents / therapeutic use
  • Carcinoma, Hepatocellular* / complications
  • Carcinoma, Hepatocellular* / drug therapy
  • Carcinoma, Hepatocellular* / secondary
  • Chemoembolization, Therapeutic / instrumentation
  • Chemoembolization, Therapeutic / methods*
  • Epistaxis / etiology
  • Epistaxis / physiopathology
  • Epistaxis / therapy*
  • Ethiodized Oil / therapeutic use*
  • Fatal Outcome
  • Gelatin Sponge, Absorbable / therapeutic use
  • Humans
  • Liver Neoplasms* / complications
  • Liver Neoplasms* / drug therapy
  • Liver Neoplasms* / secondary
  • Male
  • Middle Aged
  • Pituitary Neoplasms* / complications
  • Pituitary Neoplasms* / drug therapy
  • Pituitary Neoplasms* / secondary

Substances

  • Antineoplastic Agents
  • Ethiodized Oil