Journal of Liver Cancer

Case Reports

Radiation-induced Myositis after Proton Beam Therapy to Huge Hepatocellular Carcinoma: Jihye Kim, Gyu Sang Yoo, Dong Hyun Sinn, Hee Chul Park, Kwang Cheol Koh; J Liver Cancer. 2019;19(2):136-142. Published online September 30, 2019; DOI: https://doi.org/10.17998/jlc.19.2.136

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Proton beam therapy (PBT) is one of the advances in radiotherapy techniques, which enables dose escalation with lower probability of radiation-induced liver or gastrointestinal injuries. However, the chest wall proximal to the tumor can be affected by high dose irradiation. Here, we report on a 58-year-old male patient who presented with huge hepatocellular carcinoma, received treatment with transarterial chemoembolization and PBT, and developed severe chest wall pain due to radiation-induced myositis. The patient’s symptoms were controlled by oral steroids.

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Pectoralis Major Radiation Myonecrosis After Lung Stereotactic Body Radiation Therapy
Jason Gurewitz, Anand Mahadevan, Benjamin T. Cooper
Practical Radiation Oncology.2024; 14(3): 189. CrossRef
Current role of proton beam therapy in patients with hepatocellular carcinoma
Gyu Sang Yoo, Jeong Il Yu, Hee Chul Park
International Journal of Gastrointestinal Intervention.2021; 10(4): 175. CrossRef

A Case of Hepatocellular Carcinoma Treated by Proton Beam Therapy as 1st Choice: Oh, Jinmyeong , Sinn, Dong Hyun , Seong, Gyeol , Chung, Hye Gyo , Heo, Chanmi , Yu, Jeongil , Park, Hee Chul; J Liver Cancer. 2018;18(1):80-85. Published online March 31, 2018; DOI: https://doi.org/10.17998/jlc.18.1.80

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Although first-line treatment option for single, small sized hepatocellular carcinoma in patients with preserved liver function and good performance status is resection or ablation, sometimes these modalities cannot be applied for variable reasons. For them, alternative options such as transarterial chemoeombolization, ethanol injection, and external radiation therapy can be considered, with variable success rates. Herein, we describe 45 year-old male who presented with a single small tumor located at caudate lobe. After multi-disciplinary discussion, the patient was treated with proton beam therapy, which resulted in favorable treatment outcome.

Citations

Citations to this article as recorded by

Carbon ion radiotherapy for patients with hepatocellular carcinoma in the caudate lobe
Shohei Okazaki, Kei Shibuya, Shintaro Shiba, Masahiko Okamoto, Yuhei Miyasaka, Naoto Osu, Motohiro Kawashima, Satoru Kakizaki, Kenichiro Araki, Ken Shirabe, Tatsuya Ohno
Hepatology Research.2021; 51(3): 303. CrossRef

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