Abstract

A 75 year-old-male patient with liver cirrhosis was admitted due to right upper quadrant abdominal pain for 6 months. One month ago, abdominal CT showed a space occupying lesion in the liver. On admission, physical examination revealed mild tenderness on right upper quadrant without jaundice and palpable liver about 3 FB on RLCM. Laboratory findings showed that HBsAg and anti-HCV were negative. AFP was 2,395 ng/ml. Other laboratory findings were within normal range. Abdominal CT showed a huge encapsulated hepatic mass at right lobe of the liver with internal hemorrhage and portal vein thrombosis, which was compatible with advanced hepatocellular carcinoma (stage Ⅳa). Superior mesenteric arteriogram showed right portal vein obstruction. Celiac and hepatic arteriograms revealed huge hypervascular mass at right lobe of the liver. He was treated with intraarterial cisplatin (DDP) infusion. After the 7th intraarterial DDP infusion and the 2nd transarterial chemoembolization (TACE)/transarterial chemoinfusion (TACI), the patient is now without evidence of recurrence for 19 months, and his general condition is good. He is under close observation at out patient clinic.

• Keywords: Hepatocellular carcinoma;Stage Ⅳa