Two Pediatric Cases of Spontaneous Ruptured Solid Tumors Successfully Treated with Transcutaneous Arterial Embolization

Kyo Jin Jo; M.D.; Eu Jeen Yang; M.D.; Kyung Mi Park; M.D.; Jin Heyok Kim; M.D.; Ung Bae Jeon; M.D.; Joo Yeon Jang; M.D.; Young Tak Lim; M.D.

doi:10.15264/cpho.2018.25.2.197

Case Report

https://doi.org/10.15264/cpho.2018.25.2.197

Two Pediatric Cases of Spontaneous Ruptured Solid Tumors Successfully Treated with Transcutaneous Arterial Embolization

Clin Pediatr Hematol Oncol 2018;25:197-201.

Published online October 31, 2018

Kyo Jin Jo, M.D.¹, Eu Jeen Yang, M.D.¹, Kyung Mi Park, M.D.¹, Jin Heyok Kim, M.D.², Ung Bae Jeon, M.D.², Joo Yeon Jang, M.D.² and Young Tak Lim, M.D.¹

¹Department of Pediatrics, Pusan National University Children’s Hospital, ²Department of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea

Correspondence to: Young Tak Lim
Department of Pediatrics, Pusan National University Children’s Hospital, 20 Geumo-ro, Meulgeum-eup, Yangsan 50612, Korea
Tel: +82-55-360-2180
Fax: +82-55-360-2181
E-mail: limyt@pusan.ac.kr
ORCID ID: orcid.org/0000-0002-3300-7239

Received September 12, 2018; Revised September 28, 2018; Accepted October 5, 2018.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract: 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.; Keywords: Ruptured solid tumor, Transcatheter arterial embolization, Children

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