Abstract
Aplastic anemia (AA) is characterized by bone marrow hypoplasia and peripheral pancytopenia and is associated with increased susceptibility to infection and bleeding tendency. Here, we describe two patients with hepatocellular carcinoma (HCC) exhibiting severe pancytopenia caused by AA. They were successfully treated by transarterial embolization (TAE). To reduce the risk of complications, both component transfusion and intravenous administration of antibiotics were performed. Although they required repeated TAE after several recurrences, the tumors were eventually almost controlled. In conclusion, HCC was successfully treated by TAE in patients with severe pancytopenia caused by AA. In such cases, close cooperation with hematologists is required to improve long-term prognosis.
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