19009665 Visualization

A 49 Age - year Age - old Age woman Sex was admitted Clinical_event to the Department Nonbiological_location of Nonbiological_location Radiology Nonbiological_location of the Second Nonbiological_location Affiliated Nonbiological_location Hospital Nonbiological_location of Nonbiological_location Zhejiang Nonbiological_location University Nonbiological_location in October Date 2004 Date with right Biological_structure upper Biological_structure quadrant Biological_structure pain Sign_symptom and weight Sign_symptom loss Sign_symptom .
She was a hepatitis Disease_disorder B Disease_disorder virus History carrier History .
Her α Diagnostic_procedure - fetoprotein Diagnostic_procedure level was 1185.3 Lab_value ng/mL.
Ultrasonography Diagnostic_procedure and computed Diagnostic_procedure tomography Diagnostic_procedure ( CT Diagnostic_procedure ) revealed a 10 Distance - cm Distance mass Sign_symptom in the posterior Biological_structure segments Biological_structure of the right Biological_structure liver Biological_structure lobe Biological_structure .
A 1.5 Distance - cm Distance mass Sign_symptom was also found in the left Biological_structure lateral Biological_structure segment Biological_structure .
These clinical signs indicated that the patient had inoperable Detailed_description HCC Disease_disorder and Child Detailed_description - Pugh Detailed_description class Detailed_description A Detailed_description cirrhosis Disease_disorder .
TACE Therapeutic_procedure was offered to the patient.
Angiogram Diagnostic_procedure demonstrated no obvious hepatic Biological_structure arterio Sign_symptom - venous Sign_symptom shunt Sign_symptom , but multiple Detailed_description smaller Detailed_description masses Sign_symptom in both Biological_structure lobes Biological_structure of Biological_structure the Biological_structure liver Biological_structure .
An emulsion Administration of oxaliplatin Medication , pirarubicin Medication , hydroxycamptothecin Medication and lipiodol Medication were prepared, 35 Dosage mL Dosage and 3 Dosage mL Dosage of the mixture Medication were administered intra Administration - arterially Administration to the right Biological_structure and Biological_structure left Biological_structure hepatic Biological_structure artery Biological_structure , respectively.
The patient experienced right Biological_structure upper Biological_structure quadrant Biological_structure pain Sign_symptom after TACE and had an uneventful Lab_value recovery Diagnostic_procedure .
One Date month Date later Date , a second Detailed_description TACE Therapeutic_procedure procedure was performed via the right Biological_structure hepatic Biological_structure artery Biological_structure and 40 Dosage mL Dosage of the mixture Coreference was administered.
On the next Date day Date , she experienced sudden Detailed_description acute Detailed_description dyspnoea Sign_symptom and the peripheral Diagnostic_procedure oxygen Diagnostic_procedure saturation Diagnostic_procedure decreased Lab_value to 90% Lab_value .
The chest Biological_structure X Diagnostic_procedure - ray Diagnostic_procedure showed some increased Detailed_description reticular Detailed_description shadows Sign_symptom in the left Biological_structure lung Biological_structure , especially in the lower Biological_structure zones Biological_structure , and a chest Biological_structure CT Diagnostic_procedure scan revealed multiple Detailed_description iodized Detailed_description oil Detailed_description - like Detailed_description high Detailed_description - density Detailed_description materials Sign_symptom in parenchyma Biological_structure of Biological_structure the Biological_structure lung Biological_structure (Figure ​1).
After 10 Dosage mg Dosage dexamethasone Medication i.v. Administration and other supportive Therapeutic_procedure therapies Therapeutic_procedure were administered, the respiratory Coreference symptom Coreference was attenuated.
Two Date days Date later Date , the patient suffered from a serious Severity headache Sign_symptom and transient Detailed_description consciousness Sign_symptom loss Sign_symptom , accompanying nausea Sign_symptom and vomiting Sign_symptom followed by confusion Sign_symptom , lower Biological_structure extremity Biological_structure weakness Sign_symptom .
Non Detailed_description - contrast Detailed_description enhanced Detailed_description CT Diagnostic_procedure scanning showed multiple Detailed_description disseminated Detailed_description hyper Detailed_description - intense Detailed_description lesions Sign_symptom in the brain Biological_structure , consistent with deposition Sign_symptom of iodized Detailed_description oil Detailed_description (Figure ​2).
One Date week Date later Date , her respiratory Biological_structure and neurologic Biological_structure symptoms Sign_symptom disappeared completely, and she was discharged Clinical_event .
The patient also consequently completed the other Detailed_description three Detailed_description TACE Therapeutic_procedure procedures, during which no similar Detailed_description symptoms Sign_symptom occurred.