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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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
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043320304441
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author 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.
author_facet 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.
author_sort Yuki Irie, M.D.
collection DOAJ
description 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.
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spelling doaj.art-401a51e7dfad41848cd1343569f9f8872022-12-22T00:03:45ZengElsevierRadiology Case Reports1930-04332020-11-01151121392143Successful lymphatic embolization using N-butyl-2-cyanoacrylate for postoperative lymphorrhea in a patient with renal pelvic cancerYuki Irie, M.D.0Daisuke Obinata, M.D., Ph.D.1Jitsuro Tsukada, M.D., Ph.D.2Shigeyuki Arakawa, M.D.3Masaya Kadotani, M.D.4Yutaro Hori, M.D., Ph.D.5Tsuyoshi Yoshizawa, M.D., Ph.D.6Junichi Mochida, M.D., Ph.D.7Kenya Yamaguchi, M.D., Ph.D.8Satoru Takahashi, M.D., Ph.D.9Departments of Urology, Nihon University School of Medicine, 30-1, Oyaguchikamicho, Itabashi, Tokyo 173-8610, JapanCorresponding authors.; Departments of Urology, Nihon University School of Medicine, 30-1, Oyaguchikamicho, Itabashi, Tokyo 173-8610, JapanDepartment of Radiology, Nihon University School of Medicine, 30-1, Oyaguchikamicho, Itabashi, Tokyo, 173-8610, JapanDepartments of Urology, Nihon University School of Medicine, 30-1, Oyaguchikamicho, Itabashi, Tokyo 173-8610, JapanDepartments of Urology, Nihon University School of Medicine, 30-1, Oyaguchikamicho, Itabashi, Tokyo 173-8610, JapanDepartments of Urology, Nihon University School of Medicine, 30-1, Oyaguchikamicho, Itabashi, Tokyo 173-8610, JapanDepartments of Urology, Nihon University School of Medicine, 30-1, Oyaguchikamicho, Itabashi, Tokyo 173-8610, JapanDepartments of Urology, Nihon University School of Medicine, 30-1, Oyaguchikamicho, Itabashi, Tokyo 173-8610, JapanDepartments of Urology, Nihon University School of Medicine, 30-1, Oyaguchikamicho, Itabashi, Tokyo 173-8610, JapanDepartments of Urology, Nihon University School of Medicine, 30-1, Oyaguchikamicho, Itabashi, Tokyo 173-8610, JapanWe 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.http://www.sciencedirect.com/science/article/pii/S1930043320304441Lymphatic embolizationN-butyl-2-cyanoacrylateNode dissection
spellingShingle 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.
Successful lymphatic embolization using N-butyl-2-cyanoacrylate for postoperative lymphorrhea in a patient with renal pelvic cancer
Radiology Case Reports
Lymphatic embolization
N-butyl-2-cyanoacrylate
Node dissection
title Successful lymphatic embolization using N-butyl-2-cyanoacrylate for postoperative lymphorrhea in a patient with renal pelvic cancer
title_full Successful lymphatic embolization using N-butyl-2-cyanoacrylate for postoperative lymphorrhea in a patient with renal pelvic cancer
title_fullStr Successful lymphatic embolization using N-butyl-2-cyanoacrylate for postoperative lymphorrhea in a patient with renal pelvic cancer
title_full_unstemmed Successful lymphatic embolization using N-butyl-2-cyanoacrylate for postoperative lymphorrhea in a patient with renal pelvic cancer
title_short Successful lymphatic embolization using N-butyl-2-cyanoacrylate for postoperative lymphorrhea in a patient with renal pelvic cancer
title_sort successful lymphatic embolization using n butyl 2 cyanoacrylate for postoperative lymphorrhea in a patient with renal pelvic cancer
topic Lymphatic embolization
N-butyl-2-cyanoacrylate
Node dissection
url http://www.sciencedirect.com/science/article/pii/S1930043320304441
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