ABSTRACT
In the management of inoperable patients who have advanced gastric cancer, it is important to control an active tumor bleeding for the purpose of keeping the patient's quality of life well. We treated two patients: embolization with coil to aneurysm in the gastric tumor in one case, and embolization and chemoradiationtherapy with S-1 in the other. In results, we have never seen an active tumor bleeding and anemic state requiring a blood transfusion after the treatment. Both patients died from other diseases. We think these treatments are useful for patients with active bleeding in advanced gastric cancer.
Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Embolization, Therapeutic , Hemorrhage/pathology , Oxonic Acid/therapeutic use , Stomach Neoplasms/drug therapy , Stomach Neoplasms/radiotherapy , Tegafur/therapeutic use , Aged, 80 and over , Combined Modality Therapy , Drug Combinations , Gastroscopy , Humans , Male , Neoplasm Staging , Stomach Neoplasms/pathology , Stomach Neoplasms/surgeryABSTRACT
We report a case of fatal anaphylactoid shock caused by a CT examination using nonionic contrast medium. A 79-year-old female patient was diagnosed with right recurrent nerve plasy. There was no known history of drug allergy or exposure to contrast medium. Approximately 50 seconds after contrast medium bolus injection began, the patient was noted to be apneic. Despite cardiopulmonary resucitation, the patient died. An autopsy demonstrated marked laryngeal edema and showed extensive mast cell infiltration.
