Primary hepatocellular carcinoma associated with portal vein tumor thrombus: report of one case with survival over 5 years and review of literature

VernacularTitle:原发性肝癌伴门静脉主干癌栓患者存活超5年1例并文献复习
Author: Wenhui TU ; Jianjun LUO ; Qingxin LIU ; Zhiping YAN
Publication Type:Journal Article
Keywords: carcinoma; hepatocellular; portal vein; tumor thrombus; stent; 125I seed
From: Journal of Interventional Radiology 2015;24(12):1101-1106
CountryChina
Language:Chinese
Abstract: Objective To investigate the optimal interventional therapy for primary hepatocellular carcinoma (HCC) complicated by main portal vein tumor thrombus.Methods Three-stage treatment, i.e. transcatheter arterial chemoembolization (TACE) combined with portal vein stenting and 125I seeds strand implantation, biliary stenting plus 125I seeds strand implantation and endoscopic variceal ligation, was carried out in one patient with primary HCC complicated by main portal vein tumor thrombus. The clinical results were analyzed combined with a review of the relevant literature in order to compare the efficacies of various interventional therapies employed in clinical practice nowadays. Results The sequential therapies of the three-stage treatment program were successfully accomplished. The patient was followed up for over five years and lived well when the report was made. Conclusion At present, TACE combined with portal vein stenting and implantation of 125I seeds strand is the optimal treatment for primary HCC associated with portal vein tumor thrombus.