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KMID : 0387820180250020197
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Clinical Pediatric Hematology-Oncology
2018 Volume.25 No. 2 p.197 ~ p.201
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Two Pediatric Cases of Spontaneous Ruptured Solid Tumors Successfully Treated with Transcutaneous Arterial Embolization
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Jo Kyo-Jin
Yang Eu-Jeen
Park Kyung-Mi
Kim Jin-Heyok
Jeon Ung-Bae
Jang Joo-Yeon
Lim Young-Tak
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Abstract
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Spontaneous rupture with internal bleeding of solid tumors has rarely been described at the time of diagnosis or during chemotherapy. This rare event must be regarded as a life threatening condition. In these emergency situations, control of hemorrhage, which is life-saving, can be achieved by transcatheter arterial embolization (TAE) and/or surgical resection. This report describes two infants presenting with acute hemorrhagic shock due to spontaneous tumor rupture of hepatoblastoma and neuroblastoma during chemotherapy. TAE successfully arrested the tumor bleeding and a visibly reduced the tumor size in both children. Spontaneous rupture of solid tumors occur infrequently in children, but is a life threatening situation. Careful monitoring for the occurrence of this rare event especially in very young children presenting with a large tumor mass.
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KEYWORD
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Ruptured solid tumor, Transcatheter arterial embolization, Children
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