A Case of Successful Hepatic Resection after Insufficient Response to Transarterial Chemoembolization and Radiation Therapy in Hepatocellular Carcinoma with Portal Vein Invasion.
10.17998/jlc.2016.16.2.118
- Author:
Seong Kyun NA
1
;
Hyung Joon YIM
;
Sang Jun SUH
;
Young Kul JUNG
Author Information
1. Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea. gudwns21@medmail.co.kr
- Publication Type:Case Report
- Keywords:
Hepatocellular carcinoma;
Portal vein;
Thrombosis;
Surgery
- MeSH:
Carcinoma, Hepatocellular*;
Humans;
Male;
Portal Vein*;
Prognosis;
Recurrence;
Salvage Therapy;
Thrombosis
- From:Journal of Liver Cancer
2016;16(2):118-122
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hepatocellular carcinoma (HCC) with portal vein invasion has a poor prognosis. Treatments such as transarterial chemoembolization (TACE), radiation therapy (RT), sorafenib are done as a first line treatment. But in case of incomplete response to first line treatment, there's no established guideline about salvage treatment. We present a 47 year-old male who was diagnosed as HCC with portal vein invasion. He was treated with RT and repeated TACE, but remnant viable tumor was observed. Surgical resection was performed as a salvage treatment, and HCC was completely removed. He has been followed up over 3 years, but there was no recurrence.