Article

[A case of successful surgical resection after repeated transcatheter arterial chemoembolization for far advanced multiple hepatocellular carcinomas in both lobes associated with Vp₂ portal vein tumor thrombus].

Dept. of Gastroenterological Surgery, Graduated School of Medicine, Osaka University.
Gan to kagaku ryoho. Cancer & chemotherapy 11/2011; 38(12):2036-8. pp.2036-8
Source: PubMed

ABSTRACT Treatments for hepatocellular carcinoma (HCC) include surgical resection, transcatheter arteral chemoembolization (TACE), percutaneous local therapy and systemic chemotherapy. However, it is difficult to perform a curative treatment for patients with far advanced multiple hepatocellular carcinomas. Here we report a case of successful surgical resection after repeated TACE for far advanced multiple hepatocellular carcinomas in both lobes associated with Vp₂ portal vein tumor thrombus. A 54-year-old male who had multiple HCC lesions in lateral, median and right lobes with portal vein tumor thrombus was admitted to our hospital. Three attempts of TACE resulted in a successful control of the tumors in the right lobe. Left hepatic lobectomy was therefore performed, and a relapse-free survival was obtained for over 5 years after surgery.

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Keywords

5 years
 
54-year-old male
 
curative treatment
 
HCC
 
Left hepatic lobectomy
 
multiple hepatocellular carcinomas
 
percutaneous local therapy
 
portal vein tumor thrombus
 
systemic chemotherapy
 
TACE
 
transcatheter arteral chemoembolization
 
tumors
 
Vp₂ portal vein tumor thrombus