Interventional therapy for pelvic malignancies

By | April 17, 2012

Common pelvic malignancies has bladder cancer, rectal cancer, gynecological tumors, the pelvic vessels and nerves within the rich, and exposure to difficult surgery is extremely difficult, especially in advanced tumors are difficult to be removed, so the need for interventional treatment.
1. Indications
Interventional therapy for pelvic malignancies Indications: preoperative adjuvant therapy. could not undergo surgery in the palliative treatment of advanced tumors. recurrence and preventive chemotherapy. can not control the bleeding tumor embolization.

2. Vascular fitness video
Malignant pelvic angiography with malignant tumors in common: times thicker branch artery and the blood supply distortions, and see tortuous expansion, irregular tumor vessels, tumor stain and arteriovenous thin and so on.
3. Treatment
More bilateral pelvic blood cancer, it should also be within the artery on both sides regret chemoembolization, the use of drugs according to histological type. Embolic agent for the chemotherapy drugs commonly used in oil emulsion and gelatin sponge reflect, to try to line superselective catheterization, reduce the related organ and tissue damage, when the catheter tip embolization must be more than superior gluteal artery branch, or buttocks will occur is difficult to intolerable pain. Artery branches of the Ru rich collateral circulation and consistent support, so in most cases even if the line of bilateral regret artery ligation or embolization, pelvic and hip muscles internal organs will not have avascular necrosis.
5. Postoperative management and complications
Interventional therapy for pelvic malignancies after chemoembolization response and other similar, mainly symptomatic treatment. Complications are rare, mainly bladder – thin vaginal, rectal – vaginal thin, such as lower extremity arterial wrong bolt

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