- Combination Therapy of Angiotherapy, Radiation Therapy, and Radiofrequency Ablation for Pulmonary Metastasis of Hepatocellular Carcinoma Accompanied by Nontuberculous Mycobacteria
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Sang Hyun Park, Seul Ki Kim, Ji Hye Kim, Seokgyo Seo, Hyun Pyo Hong, Soo-Youn Ham, Byung Ik Kim
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J Liver Cancer. 2019;19(1):79-84. Published online March 31, 2019
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DOI: https://doi.org/10.17998/jlc.19.1.79
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Abstract
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- With the advances in hepatocellular carcinoma (HCC) treatment, the lung metastasis of HCC is becoming increasingly important. In treating the lung metastasis of HCC, a multidisciplinary approach can lead to better results than systemic chemotherapy alone. Here, we report on a patient who presented with pulmonary masses, while the HCC was being controlled in the abdominal cavity. The presence of nontuberculous mycobacteria was identified during the diagnosis of the pulmonary masses. The pulmonary metastases of HCC were treated with a combination of angiotherapy, radiation therapy, and radiofrequency ablation. The patient showed a satisfactory progress with this multidisciplinary localized treatment. We report the clinical progress and review the recent literature regarding the treatment of pulmonary metastasis without intrahepatic HCC herein.
- Effect of combination therapy with TACE and 3D-CRT for two patients with PVT and/or IVC tumor thrombus
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Hyun Deok Shin, Young-Suk Lim, Soon Joo Kim, Sang Hyun Park, Gang Mo Kim, Han Chu Lee, Young Hwa Jung, Young Sang Lee, Dong Jin Suh
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Journal of the Korean Liver Cancer Study Group. 2007;7(1):87-93. Published online June 30, 2007
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Abstract
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- Advanced hepatocellular carcinoma has a poor prognosis, especially in the cases with portal vein or IVC tumor
thrombi. In such cases, surgical resection could not be a curative treatment option and transcatheter arterial
chemoembolization (TACE) alone is usually ineffective. Recently, three-dimensional conformal radiation therapy
(3D-CRT) has been developed to better conform the radiation dose to the tumor volume in order to reach the goal
of eradicating local disease without injuring normal tissue. Combination therapy with TACE and 3D-CRT could
be considered as a treatment option for advanced HCC with PV or IVC tumor thrombi. We report here two cases
with advanced HCC showing response to combination therapy with repeated TACE and 3D-CRT.
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