[A Case of Effective Endovascular Treatment for Recurrent Bleeding from Advanced Breast Cancer]

A-58-year-old woman was diagnosed with breast cancer 8 years ago at another hospital, but refused surgical treatment. From 2 years ago, her skin invasion of cancer lesions began bleeding. The patient required frequent blood transfusions due to anemia associated with repeated bleeding. She was referred to our department for local treatment and palliative care. Diagnostic imaging revealed multiple lung, bone and liver metastasis. The patient refused to receive systemic chemotherapy, and she was recommended radiation therapy for repeated massive bleeding, but her consent was not obtained. She agreed to receive arterial embolization from the tumor-bearing vessels plus intravenous anti-cancer drug therapy. The hemostatic effect was observed for 4 to 5 weeks per treatment, and tumor reduction was also observed. She received a total of 6 treatments during 8 months until her death. These treatments were effective in maintaining quality of life at the end of life.