Emergent Transcutaneous Embolization in an Advanced Carcinosarcoma

Active hemorrhage is a life-threatening complication of advanced tumors. It often signifies the terminal stage of the disease and therefore is usually treated with palliative care. Transcutaneous arterial embolization (TAE) is a safe, noninvasive procedure that halts acute tumor-related bleeding thereby providing effective life-saving treatment for patients with non-operable tumors. Carcinosarcoma is an uncommon tumor that generally affects the head and neck, respiratory tract, colon, uterus, ovaries, and fallopian tubes. The authors present an interesting case of a rare manifestation in an unusual location. A 60-year-old Caucasian male, who presented with abdominal and groin pain, was found to have a large carcinosarcoma in the retroperitoneal space. The tumor was complicated with an active bleed. Since he was not a candidate for surgical intervention, a TAE was performed. Two days later, the patient was discharged to hospice where he was able to live out the rest of his life.