- A Case of Successful Hepatic Resection for Hepatocellular Carcinoma with Tumor Thrombus Extending into the Right Atrium
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Yong Beom Cho, Kuhn Uk Lee, Hyo-Suk Lee, Hyuk Ahn, Hae Won Lee, Eung-Ho Cho, Sung-Hoon Yang, Jai Young Cho, Nam-Joon Yi, Kyung-Suk Suh
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Journal of the Korean Liver Cancer Study Group. 2006;6(1):25-27. Published online June 30, 2006
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Abstract
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- Hepatocellular carcinoma (HCC) with extension of its tumor thrombus into the inferior vena cava (IVC) and
right atrium has been regarded as beyond the realm of surgical resection. It could cause sudden death due to
pulmonary embolism or heart failure by the detached fragments of tumor thrombus. In recent years, successful
surgery has been reported for hepatic malignancies with its tumor thrombus to the IVC and right atrium by some
centers of Taiwan and Japan. We also did a successful en bloc resection of the liver tumor and its tumor
thrombus in the IVC and right atrium using cardiopulmonary bypass and report herein.
- A Case of Successful Hepatic Resection after Transarterial Chemoembolization and Perfusion Chemotherapy for Huge Hepatocellular Carcinoma with Tumor Thrombus Extending into the Inferior Vena Cava
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Yong Beom Cho, Kuhn Uk Lee, Hyo-Suk Lee, Jae Hyung Park, Hae Won Lee, Eung-Ho Cho, Sung-Hoon Yang, Jai Young Cho, Nam-Joon Yi, Kyung-Suk Suh
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Journal of the Korean Liver Cancer Study Group. 2006;6(1):28-31. Published online June 30, 2006
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Abstract
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- The use of transarterial chemoembolization (TACE) in the treatment of hepatocellular carcinoma (HCC) has
become increasingly popular in the last 20 years. By TACE overall survival might be prolonged in patients with
moderately advanced HCC, and some surgically untreatable tumors have been rendered resectable subsequently
and some patients achieved cures. However, it would be recommended to proceed with liver resection when we
were unable to ascertain clinically the complete success of post-TACE tumor destruction, even when the size of
the huge tumor was reduced obviously and the alpha-fetoprotein returned to normal after TACE treatments.
Sequential surgical resection has been advocated for a curative outcome even after effective TACE treatments.
We report a case of successful hepatic resection with right hepatic vein and its adjacent IVC after TACE and
perfusion chemotherapy for huge HCC with tumor thrombus extending into IVC.
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