Ablative radioembolization of hepatocellular carcinoma with total arterial supply originating from the superior adrenal artery achieved complete pathologic necrosis

Radiology Case Reports

article

Gonzalo Arotzarena¹  Beau B. Toskich¹  Andrew R. Lewis¹  Ricardo Paz-Fumagalli¹ 

[1] Mayo Clinic Florida

关键词: Hepatocellular carcinoma;    Extrahepatic vascular supply;    Adrenal artery;    Radiation segmentectomy;    Ablative radioembolization;   

DOI  :  10.1016/j.radcr.2022.10.025

学科分类：生物化学工程

来源: University of Washington * Department of Radiology

【 摘 要 】

Exclusively extrahepatic arterial perfusion to previously untreated, early-stage, hepatocellular carcinoma (HCC) is uncommon. We present a case of right superior adrenal artery completely supplying a subcapsular HCC in a 68-year-old male. The extrahepatic arterial territory targeted excluded structures potentially vulnerable to radiation, which allowed safe ablative Y-90 radioembolization that achieved complete pathological necrosis.

【 授权许可】

CC BY|CC BY-NC-ND