Percutaneous Sacroplasty for Hemorrhagic Metastases from Hepatocellular Carcinoma

Summary: Percutaneous injection of bone cement is a promising treatment for metastatic tumors. We present a case of hemorrhagic sacral metastases from hepatocellular carcinoma treated successfully by percutaneous sacro-plasty with combined injections of bone cement and N-butyl cyanoacrylate resulting in pain relief. Palliative treatment for symptomatic bone metas-tases is as important as the treatment of primary lesion to maintain patients ’ quality of life. The effec-tiveness of percutaneous injection of polymethly-methacrylate (PMMA) for metastatic tumors in weight-bearing region such as vertebral bodies and pelvis has been reported (1–11); however, the treat-ment of extremely hypervascular lesions such as me-tastases from hepatocellular carcinoma (HCC) i