Cai JB, He M, Wang FL, Xiong JN, Mao JQ, Guan ZH, Li LJ, Wang JH. Paraplegia after transcatheter artery chemoembolization in a child with clear cell sarcoma of the kidney: A case report. World J Clin Cases 2020; 8(11): 2332-2338 [PMID: 32548164 DOI: 10.12998/wjcc.v8.i11.2332]
Corresponding Author of This Article
Jin-Hu Wang, MD, Associate Professor, Director, Surgical Oncologist, Department of Surgical Oncology, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, No. 3333, Binsheng Road, Binjiang District, Hangzhou 310053, Zhejiang Province, China. wjh@zju.edu.cn
Research Domain of This Article
Oncology
Article-Type of This Article
Case Report
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Cai JB, He M, Wang FL, Xiong JN, Mao JQ, Guan ZH, Li LJ, Wang JH. Paraplegia after transcatheter artery chemoembolization in a child with clear cell sarcoma of the kidney: A case report. World J Clin Cases 2020; 8(11): 2332-2338 [PMID: 32548164 DOI: 10.12998/wjcc.v8.i11.2332]
World J Clin Cases. Jun 6, 2020; 8(11): 2332-2338 Published online Jun 6, 2020. doi: 10.12998/wjcc.v8.i11.2332
Paraplegia after transcatheter artery chemoembolization in a child with clear cell sarcoma of the kidney: A case report
Jia-Bin Cai, Min He, Fa-Liang Wang, Jie-Ni Xiong, Jun-Qing Mao, Zhong-Hai Guan, Lin-Jie Li, Jin-Hu Wang
Jia-Bin Cai, Min He, Fa-Liang Wang, Jie-Ni Xiong, Jun-Qing Mao, Zhong-Hai Guan, Lin-Jie Li, Jin-Hu Wang, Department of Surgical Oncology, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310053, Zhejiang Province, China
Author contributions: Cai JB drafted the manuscript and reviewed the literature; He M, Wang FL, Xiong JN, Mao JQ, Guan ZH, and Li LJ interpreted the results and helped to draft and revise the manuscript; Wang JH as the supervisor designed the project and treated the patient; all authors issued final approval for the version to be submitted.
Supported bythe National Natural Science Foundation of China, No. 81801939; Scientific Research Project of Zhejiang Education Department, No. N20140124; Medical Health Science and Technology Project of Zhejiang Provincial Health Commission, No. 2019KY093; and Science Technology Research Program of Zhejiang Province, No. 2017C33047.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Jin-Hu Wang, MD, Associate Professor, Director, Surgical Oncologist, Department of Surgical Oncology, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, No. 3333, Binsheng Road, Binjiang District, Hangzhou 310053, Zhejiang Province, China. wjh@zju.edu.cn
Received: March 5, 2020 Peer-review started: March 5, 2020 First decision: March 24, 2020 Revised: April 9, 2020 Accepted: April 28, 2020 Article in press: April 28, 2020 Published online: June 6, 2020 Processing time: 94 Days and 12 Hours
Abstract
BACKGROUND
Transcatheter arterial chemoembolization (TACE) is a common treatment for inoperable malignant renal tumors. However, a series of complications may follow the TACE treatment. Spinal cord injury caused by the embolization of intercostal or lumbar arteries is extremely rare.
CASE SUMMARY
We describe a case with quite uncommon spinal cord injury after TACE in a 3-year-old child with clear cell sarcoma of the kidney. Sensory impairment beneath the T10 dermatomes and paraplegia on the day after TACE were found in this patient. Unfortunately, sustained paraplegia still existed for more than 2 mo after TACE despite the large dose of steroids and supportive therapy.
CONCLUSION
We should draw attention to an uncommon complication of paraplegia after TACE treatment in malignant renal tumors. Although it is rare, the result is disastrous.
Core tip: Transcatheter arterial chemoembolization is a common treatment for inoperable malignant hepatic and renal tumors in adult patients, however, it is rarely applied in pediatric patients. A series of complications may follow the transcatheter arterial chemoembolization treatment. Spinal cord injury caused by the embolization of intercostal or lumbar arteries is extremely rare.
