A case report of hepatocellular carcinoma with hepatic and portal venous tumor thrombus and multiple intrahepatic metastasis who survived over 1 year after the operation with combined locoregional chemotherapy

J. Shimizu, H. Nagano, M. Sakon, K. Dono, Y. Takeda, S. Kishimoto, H. Eguchi, A. Miyamoto, M. Kondo, S. Nakamori, K. Umeshita, H. Nakamura, K. Wakasa, M. Monden

研究成果: Contribution to journalArticle査読

抄録

Hepatocellular carcinoma (HCC) with vascular invasion and/or intrahepatic metastasis (IM) has a poor prognosis, so advanced HCC may be considered as a contraindication for hepatectomy. We experienced a case of HCC with hepatic venous and portal venous tumor thrombus and multiple IM who survived over 1 year after the operation with combined locoregional chemotherapy. (Case): A 67-year-old male patient was diagnosed with HCC with extracapsular invasion after transarterial embolization (TAE). CT scan revealed the HCC had a right portal venous tumor thrombus and multiple IM. Posterior lobectomy and thrombectomy of hepatic venous and portal venous tumor thrombus and placement of portal venous catheter ware performed. From the first day after operation the patient received continuous intravenous and intraportal 5-FU for 3 weeks. At the first month after operation, TAE and PEIT were given against residual IM. After discharge the patient received hepatic arterial infusion chemotherapy (MTX/CDDP/5-FU/Leucovorin). Fourteen months after operation, the patient is surviving in good physical condition.

本文言語英語
ページ(範囲)1895-1899
ページ数5
ジャーナルGan to kagaku ryoho. Cancer & chemotherapy
26
12
出版ステータス出版済み - 10 1999

All Science Journal Classification (ASJC) codes

  • 腫瘍学
  • 癌研究

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