Literature DB >> 26870287

Acquired amegakaryocytic thrombocytopenic purpura induced by percutaneous ethanol injection during treatment of hepatocellular carcinoma: A case report.

Ding-Lun Ai1, Bo-Tao Li2, Xiao-Ming Peng1, Lin-Zhi Zhang1, Jing-Yan Wang1, Yun Zhao1, Bin Yang1, Qiang Yu1, Chun-Zi Liu1, Ning Yang3, Hua-Ming Wang1, Lin Zhou1.   

Abstract

Percutaneous ethanol injection is an important localized treatment method for patients presenting with hepatocellular carcinoma (HCC). Among the advantages of percutaneous ethanol injection are its minimal invasiveness, simplicity, low cost and low risk of complications. However, the increasing popularity of percutaneous ethanol injection has resulted in serious adverse effects attributed to individual variations. The present study describes the case of a patient who exhibited acquired amegakaryocytic thrombocytopenic purpura, caused by percutaneous ethanol injection treatment for HCC. This complication was promptly identified, and platelet transfusion and injection of recombinant human interleukin-11 resulted in a rapid recovery of the patient's platelet count. Attention should be given to this rare complication in patients administered percutaneous ethanol injection treatment for HCC.

Entities:  

Keywords:  acquired amegakaryocytic thrombocytopenic purpura; complication; hepatocellular carcinoma; percutaneous ethanol injection

Year:  2015        PMID: 26870287      PMCID: PMC4727072          DOI: 10.3892/ol.2015.3934

Source DB:  PubMed          Journal:  Oncol Lett        ISSN: 1792-1074            Impact factor:   2.967


  20 in total

1.  [Non-vascular interventional radiology--percutaneous ethanol injection (PEI) in hepatocellular carcinoma smaller than 3 cm in diameter].

Authors:  M Ebara; K Kita; M Yoshikawa; M Ohto
Journal:  Gan To Kagaku Ryoho       Date:  1989-09

2.  Recombinant human interleukin-11 directly promotes megakaryocytopoiesis in vitro.

Authors:  N S Weich; A Wang; M Fitzgerald; T Y Neben; D Donaldson; J Giannotti; J Yetz-Aldape; R M Leven; K J Turner
Journal:  Blood       Date:  1997-11-15       Impact factor: 22.113

3.  Safety of percutaneous ethanol injection as neoadjuvant therapy for hepatocellular carcinoma in waiting list liver transplant candidates.

Authors:  J F Castroagudín; M Delgado; A Villanueva; M Bustamante; J Martínez; E Otero; S Tomé; S M Martínez; F R Segade; R Conde; E Dominguez-Muñoz; E Varo
Journal:  Transplant Proc       Date:  2005-11       Impact factor: 1.066

4.  Excess alcohol consumption is common in patients with cytopenia: studies in blood and bone marrow cells.

Authors:  Jaana Latvala; Seppo Parkkila; Onni Niemelä
Journal:  Alcohol Clin Exp Res       Date:  2004-04       Impact factor: 3.455

5.  Acquired hypomegakaryocytic thrombocytopenic purpura. Occurrence in a patient with absent thrombopoietic stimulating factor.

Authors:  E H Hirsh; W R Vogler; T P McDonald; S F Stein
Journal:  Arch Intern Med       Date:  1980-05

6.  Complications of percutaneous ethanol ablation.

Authors:  R K Gelczer; J W Charboneau; S Hussain; D L Brown
Journal:  J Ultrasound Med       Date:  1998-08       Impact factor: 2.153

7.  Long term results of single session percutaneous ethanol injection in patients with large hepatocellular carcinoma.

Authors:  T Livraghi; V Benedini; S Lazzaroni; F Meloni; G Torzilli; C Vettori
Journal:  Cancer       Date:  1998-07-01       Impact factor: 6.860

8.  Transitory hypomegakaryocytic thrombocytopenia: aetiological association with ethanol abuse and implications regarding regulation of human megakaryocytopoiesis.

Authors:  A M Gewirtz; R Hoffman
Journal:  Br J Haematol       Date:  1986-02       Impact factor: 6.998

Review 9.  The incidence and impact of thrombocytopenia in myelodysplastic syndromes.

Authors:  Hagop Kantarjian; Francis Giles; Alan List; Roger Lyons; Mikkael A Sekeres; Sherry Pierce; Robert Deuson; Joseph Leveque
Journal:  Cancer       Date:  2007-05-01       Impact factor: 6.860

10.  Hepatocellular carcinoma and cirrhosis in 746 patients: long-term results of percutaneous ethanol injection.

Authors:  T Livraghi; A Giorgio; G Marin; A Salmi; I de Sio; L Bolondi; M Pompili; F Brunello; S Lazzaroni; G Torzilli
Journal:  Radiology       Date:  1995-10       Impact factor: 11.105

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