頁籤選單縮合
題名 | Successful Resection of Huge Hepatocellular Carcinoma with Inferior Vena Cava Thrombus after Radiation Therapy and Transarterial Chemoembolization= |
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作者 | Hung, Kuo-chen; Hsieh, Pei-min; Yeh, Shyh-an; Sun, Po-lin; Huang, Li-chien; Chen, Yaw-sen; |
期刊 | Formosan Journal of Surgery |
出版日期 | 20110800 |
卷期 | 44:4 2011.08[民100.08] |
頁次 | 頁156-159 |
分類號 | 416.246 |
語文 | eng |
關鍵詞 | Hepatic resection; Hepatic vein tumor thrombus; Hepatocellular carcinoma; Inferior vena cava tumor thrombus; Three-dimensional conformal radiation therapy; Transarterial chemoembolization; |
英文摘要 | We report a successfully managed case of locally far-advanced hepatocellular carcinoma (HCC) by preoperative downsizing by transarterial chemoembolization (TACE) and three-dimensional conformal radiation therapy (3D-CRT), with subsequent surgical resection. A 35-year-old man was referred to our hospital with right huge HCC in May, 2006. The laboratory data were normal except for elevated aspartate transaminase 100 U/L (0e38), alanine transaminase 54 U/L(0e44), and a-fetoprotein 32 ng/mL(1e8). A computed tomography scan of the liver revealed a 20-cm right side huge HCC with inferior vena cava tumor thrombus (IVC-TT) and a second 2-cm HCC in segment III. TACE was performed on the right HCC with 20 mg of doxorubicin (Adriamycin), mixed with 10 mL of lipiodol and gelfoam. 3D-CRT was followed by 60 Gy (3 Gy/fraction) over 4 weeks. The posttreatment computed tomography scan showed significant shrinkage of the right tumor and IVC-TT. The tumors with the concomitant IVC-TT were surgically removed 6 weeks later. |
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