Surgical resection is not candidate for advanced stage hepatocellular cacinoma with portal vein thrombosis, but
transcatheter arterial chemoembolization (TACE) or radiotherapy can be considered as palliative treatment option.
We experienced a 44-old-male who has stage Ⅳa hepatocellular carcinoma. We performed TACE and 3-dimensional
conformal radiotherapy for hepatocellular carcinoma and portal vein thrombosis. Because follow up image
study showed no viable tumor, we then performed surgical resection. Surgical specimen also showed complete
tumor necrosis.
Kyung Woo Park, Joong-Won Park, Sang-Hyung Cho, Young Il Kim, Seong Hoon Kim, Hong Suk Park, Woo Jin Lee, Sang Jae Park, Dae Young Kim, Eun Kyoung Hong, Chang-Min Kim
Journal of the Korean Liver Cancer Study Group. 2005;5(1):37-41. Published online June 30, 2005
Recently, radiotherapy is considered as one of the palliative treatment modalities for patients with hepatocellular
carcinoma. In the adevent of 3-dimensional conformal radiotherapy, liver can be treated with high dose radiotherapy
without increment of complication. We report two cases of hepatocellular carcinoma with main portal vein
thrombosis, who were treated with 3D-CRT and showed promising outcome.