Successful lymphatic embolization using N-butyl-2-cyanoacrylate for postoperative lymphorrhea in a patient with renal pelvic cancer

We present a successful case of percutaneous lymphatic embolization using N-butyl-2-cyanoacrylate (NBCA) for postoperative lymphorrhea in a patient with urothelial carcinoma of renal pelvis. A 75-year-old man with urothelial carcinoma of left renal pelvis with para-aortic lymph nodes metastases. The...

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Bibliographic Details
Main Authors: Yuki Irie, M.D., Daisuke Obinata, M.D., Ph.D., Jitsuro Tsukada, M.D., Ph.D., Shigeyuki Arakawa, M.D., Masaya Kadotani, M.D., Yutaro Hori, M.D., Ph.D., Tsuyoshi Yoshizawa, M.D., Ph.D., Junichi Mochida, M.D., Ph.D., Kenya Yamaguchi, M.D., Ph.D., Satoru Takahashi, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2020-11-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043320304441
Description
Summary:We present a successful case of percutaneous lymphatic embolization using N-butyl-2-cyanoacrylate (NBCA) for postoperative lymphorrhea in a patient with urothelial carcinoma of renal pelvis. A 75-year-old man with urothelial carcinoma of left renal pelvis with para-aortic lymph nodes metastases. The patient presented severe lymphorrhea after neo-adjuvant chemotherapy followed by laparoscopic total left nephroureterectomy and lymph nodes dissection. Since conservative treatments were ineffective, percutaneous lymphatic embolization using NBCA resulted in healing of the lymphorrhea without recurrence. Percutaneous lymphatic embolization using NBCA followed by intranodal lymphography is a powerful treatment option for intractable postoperative lymphorrhea after lymph nodes dissection.
ISSN:1930-0433