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

Tomoji Takigawa, Yuji Matsumaru, Mikito Hayakawa, Kenji Ikeda, Akira Matsumura

Department of Endovascular Neurosurgery, Toranomon Hospital, Tokyo, Japan. t-tomojy@mx2.harmonix.ne.jp

Neurologia medico-chirurgica 2011

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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.

Citation

Tomoji Takigawa, Yuji Matsumaru, Mikito Hayakawa, Kenji Ikeda, Akira Matsumura. Transarterial embolization with use of lipiodol and gelatin sponge for active nasal bleeding from hepatocellular carcinoma metastasis in the pituitary gland. Neurologia medico-chirurgica. 2011;51(8):592-5