Embolization of an unusual metastatic site of hepatocellular carcinoma in the humerus

Figure 3 Catheter angiography of the tumor before (A, B) and after embolization (C), X-Ray after final treatment with amputation of the left upper extremity (D). A: Catheter angiography of the axillary artery reveal a round hypervascular tumor; B: Selective angiography of a tumor feeding vessel as side of application of Bead Block (size 300-500 &mgr;m, Terumo Europe, Leuven, Belgium) for embolization; C: After embolization of main parts of the tumor, at this status no areas of bleeding detectable but small parts of the tumor still perfused; D: Final treatment with amputation of the left upper extremity.