Patient: Description (onset time, main symptoms, hospital visited, etc.): Clear water-like discharge from the lower body, back and leg pain, stage I-II phosphocellular carcinoma on March 10 at the county hospital. Cao Guangxiao, Department of Interventional Medicine, Henan Provincial People’s Hospital, China, seeking for the best treatment
Cao Guang Shao, Department of Interventional Medicine, Henan Provincial People’s Hospital: If surgery is possible, try to remove the tumor surgically; if not, choose local treatment or radiotherapy. This patient was diagnosed with carcinoma in situ, which should be relatively early, but because the tumor is too large to be removed, in order to reduce the size of the tumor, it is recommended to first “bilateral internal iliac artery chemo-perfusion” combined with systemic chemotherapy, the former is more effective in controlling the growth of local lesions, and the latter tries to control its distant metastases, the combination of the two is more effective. “Bilateral internal iliac artery chemo-perfusion” is a kind of minimally invasive interventional surgery, a local anesthetic needle, like being bitten by a bug, then puncture the femoral artery at the root of the thigh, introduce the catheter to both internal iliac arteries for imaging, if there is obvious tumor staining, all the branches of the artery suspected of supplying blood for the tumor will be bolted off to cut off the nutrition of the tumor. The tumor will be “starved”, and then combined with the direct injection of highly concentrated chemotherapy drugs into the tumor through the catheter to “poison” the tumor, which can control the tumor well until it shrinks and necrosis! The whole operation is less traumatic and less painful, only the tumor edema and necrosis cause abdominal pain, nausea and fever within one or two days after the operation, which are common embolic reactions and can be generally tolerated. After the tumor shrinks, the tumor can be cut out directly because the blood supply artery has been embolized, and the bleeding will be greatly reduced during resection. It is recommended to treat it as soon as possible because the tumor grows rapidly and it will be more complicated once it continues to grow or distant metastasis occurs.