- Curative Resection of Advanced Hepatocellular Carcinoma (TNM stage IVa) after Concurrent Chemo-Radiation Therapy: A Case Report
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DY Kim, KH Han, SH Ahn, CM Moon, KK Kim, CY Chon, YM Moon, KS Kim, JS Sung, YN Park
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Journal of the Korean Liver Cancer Study Group. 2005;5(1):22-26. Published online June 30, 2005
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Abstract
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- Hepatocellular carcinoma (HCC) with portal vein thrombosis is a difficult form of HCC to treat. Therefore, no
specific treatment mordality has been absent. Here, we present a patient diagnosed as hepatocellular carcinoma
with right portal vein thrombosis (stage IVa). The patient had been treated with concurrent chemo-radiation
therapy (CCRT) for five weeks. After CCRR, tumor size was markedly decreased. Two courses of additional
transcatheter arterial chemoembolization (TACE) and five courses of intraarterial 5-fluorouracil (5-FU)/cisplatin
infusion were performed. Follow-up computerized tomography (CT) scan showed about 2cm-sized nodular lesion
at lateral margin of right hepatic lobe. On angiography, it was shown that both the mass and intestine were
commonly supplied by omental artery. For the treatment of the mass, right hepatic lobectomy was undertaken.
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