- Author:
Jihye KIM
1
;
Gyu Sang YOO
;
Dong Hyun SINN
;
Hee Chul PARK
;
Kwang Cheol KOH
Author Information
- Publication Type:Case Report
- Keywords: Proton beam therapy; Myositis; Hepatocellular carcinoma; Sorafenib; Radiation recall phenomenon
- MeSH: Carcinoma, Hepatocellular; Humans; Liver; Male; Middle Aged; Myositis; Proton Therapy; Protons; Radiotherapy; Steroids; Thoracic Wall
- From:Journal of Liver Cancer 2019;19(2):136-142
- CountryRepublic of Korea
- Language:English
- Abstract: Proton beam therapy (PBT) is one of the advances in radiotherapy techniques, which enables dose escalation with lower probability of radiation-induced liver or gastrointestinal injuries. However, the chest wall proximal to the tumor can be affected by high dose irradiation. Here, we report on a 58-year-old male patient who presented with huge hepatocellular carcinoma, received treatment with transarterial chemoembolization and PBT, and developed severe chest wall pain due to radiation-induced myositis. The patient's symptoms were controlled by oral steroids.