Clin Pediatr Hematol Oncol.  2018 Oct;25(2):197-201. 10.15264/cpho.2018.25.2.197.

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

• Jo KJ
• Yang EJ
• Park KM
• Kim JH
• Jeon UB
• Jang JY
• Lim YT

• KMID: 2435415
• DOI: http://doi.org/10.15264/cpho.2018.25.2.197

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.

Keyword

Ruptured solid tumor; Transcatheter arterial embolization; Children

MeSH Terms

Child
Diagnosis
Drug Therapy
Emergencies
Hemorrhage
Hepatoblastoma
Humans
Infant
Neuroblastoma
Rupture
Rupture, Spontaneous
Shock, Hemorrhagic