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THE KOREAN LIVER CANCER ASSOCIATION
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- Case Report A Case of Advanced Hepatocellular Carcinoma with Portal Vein Tumor Thrombosis Achieving Complete Response with New Therapeutic Modalities
- Hyun Young Woo1, Jin Dong Kim1, Jung Hyun Kwon1, Chan Ran You1, Jeong Won Jang1, Si Hyun Bae1, Jong Young Choi1, Se Hyun Cho1, Seung Kew Yoon1, Dong Hoon Lee2, Ho Jong Chun2, Byung Gil Choi2, Chul Seung Kay3
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Journal of Liver Cancer 2008;8(1):124-127
DOI: https://doi.org/
Published online: June 30, 2008
2Department of Radiology, Kang-Nam St. Mary’ Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
3Department of Radiation Oncology, Kang-Nam St. Mary’ Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
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Corresponding author:
Si Hyun Bae,
Email: baesh@catholic.ac.kr
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Abstract
A 45-year-old man was admitted for the treatment of hepatocellular carcinoma (HCC). He was diagnosed hepatitis B carrier 16 years ago and has not done a routine check. Abdominal CT showed a diffuse infiltrative HCC involving right hepatic lobe with portal vein tumor thrombosis (PVTT) involving right portal vein and proximal portion of left portal vein umbilical portion. With concurrent transcatheter arterial chemotherapy (TAC), helical tomotherapy for portal vein thrombosis was done. With these treatments, main tumor and PVTT was decreased in size markedly and no stain in hepatic angiogram. Due to repeated TAC, hepatic arterial stenosis occurred and TAC was stopped. 3 months after, recurrent tumor was detected in MRI. Radiofrequency ablation followed by High Intensity Focused Ultrasound (HIFU) was done for this recurrent mass. No viable mass was shown in the follow up MRI done 6 months after HIFU.
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