KMID : 0613320130190020050
|
|
Journal of the Korean Bone and Joint Tumor Soceity 2013 Volume.19 No. 2 p.50 ~ p.55
|
|
Analysis for Usefulness of Arterial Embolization on Sacral and Pelvic Giant Cell Tumors
|
|
Kim Seung-Hyun
Yoon Gil-Sung Cho Yong-Jin Shin Kyoo-Ho Suh Jin-Suck Yang Woo-Ick
|
|
Abstract
|
|
|
Purpose: The purpose of this study is to determine the usefulness of arterial embolization on sacral and pelvic giant cell tumor (GCT).
Materials and Methods: We retrospectively reviewed the medical records of 9 patients who had undergone serial arterial embolization between December 1996 and May 2008. We analyzed the clinical outcomes and therapeutic responsiveness of arterial embolization on sacral and pelvic GCT.
Results: Six of 9 cases showed progression of disease (PD) status, even if 5 cases showed PD status despite of additional treatments
including surgery and radiation, implying that serial arterial embolization on sacral and pelvic GCT is not effective. Three of 9 cases
showed stable disease (SD) or continuous disease free (CDF) status and we analyzed associated factors with these good responses for embolization by ¥ö2 test. The number of feeding vessels under six (p=0.048) and the number of collateral arterial supply under three (p=0.048) in the first angiogram showed significant relationships with good response for embolization, while remaining tumor staining by contrast after the first embolization and repeated embolization times were not significant.
Conclusion: Although serial arterial embolization is not an effective modality on sacral and pelvic giant cell tumors, it may be a pilot modality under narrow indication of tumors with poor vascularity at first angiogram.
|
|
KEYWORD
|
|
sacrum, pelvic bone, giant cell tumor, arterial embolization
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|