Journal of Liver Cancer  2016;16(2):118-122

doi:10.17998/jlc.2016.16.2.118

A Case of Successful Hepatic Resection after Insufficient Response to Transarterial Chemoembolization and Radiation Therapy in Hepatocellular Carcinoma with Portal Vein Invasion.

Seong Kyun NA 1 ; Hyung Joon YIM ; Sang Jun SUH ; Young Kul JUNG

Affiliations

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Keywords

Hepatocellular carcinoma; Portal vein; Thrombosis; Surgery

Country

Republic 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.