胃肠道肿瘤术后腹壁转移患者的介入治疗

Interventional therapy for abdominal wall metastasis of gastroenterological carcinoma

目的探讨胃肠道肿瘤术后腹壁转移灶采用介入治疗的疗效和并发症。方法对5例胃肠道肿瘤术后腹壁转移灶患者采用化疗栓塞术,部分患者结合经皮穿刺瘤内注射无水乙醇。结果 5例患者行动脉插管化疗栓塞术获得技术成功,术后3例患者腹壁转移灶内碘油沉积良好。5例患者症状均缓解,癌胚抗原(CEA)有不同程度下降,未发生严重并发症。手术成功率100%,随访半年以上未发现肿瘤复发。结论胃肠道肿瘤术后腹壁转移灶采取介入方法治疗可使肿瘤病灶缩小,可有效控制肿瘤生长、缓解疼痛,提高患者生存质量。

Objective To explore the efficacy and complication of interventional therapy for abdominal wall metastasis of gastroenterological carcinoma. Methods 5 patients with abdominal wall metastasis after gastrointestinal cancer operation were treated with transcatheter arterial chemoembolization, some patients were treated with percutaneous intratumor ethanol injection（PEI）. ResultsInterventional treatment was suceessfully performed in 5 patients with good lipiodol deposition within the lesions in 3 cases,partial depositions in 2 cases and followed by PEI. Pain caused by abdominal wall metastasis was alleviated or eliminated with tumor shrinkage and softened in 5 patients. CEA levels decreased in all 5 patients after therapy. No other severe complication occurred. Technical success was achieved in 5 sessions（100%）. Six-month follow-up was available for 5 tumors, no imaging evidence of local tumor progression. Conclusion Transcatheter arterial embolization and PEI for patients with abdominal wall metastasis of gastroenterological carcinoma could narrow tumor lesions, control the development and relieve pain effectively, it could improve the patients living quality.