A Case of Unresectable Hepatocellular Carcinoma Treated by Repeated Transcatheter Arterial Chemoembolization Using DC beads® Followed with Resection |
Jeong-Yeop Song1, Young Seok Kim1, Jae Myeong Lee4, Soo Ji Jin5, Kyu Sung Choi6, Yun Nah Lee1, Sang Hyune Kim1, Sung Won Jeong2, Jae Young Jang2, Sae Hwan Lee3, Hong Soo Kim3, Boo Sung Kim3 |
1Digestive Disease Center and Research Institute, Department of Internal Medicine Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon, Korea 2Digestive Disease Center and Research Institute, Department of Internal Medicine Soonchunhyang University College of Medicine, Seoul Hospital, Seoul, Korea 3Digestive Disease Center and Research Institute, Department of Internal Medicine Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea 4Departments of Radiology, Soonchunhyang University College of Medicine, Bucheon, Korea 5Departments of Pathology, Soonchunhyang University College of Medicine, Bucheon, Korea 6Departments of General Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea |
Correspondence:
Young Seok Kim, Email: liverkys@schmc.ac.kr |
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Abstract |
In patients with unresectable hepatocellular carcinoma (HCC) and no anti-cancer treatment, the prognosis is quite poor. But in
some cases, repeated sessions of transcatheter arterial chemoembolization (TACE) reduce the tumor size even to resectable, and
post-TACE resection may prolong the survival time. We present a case of 50-year-old HBV carrier woman with abdominal
distension. The diagnosis was huge HCC with intrahepatic metastasis. Repeated intra-arterial injections of adriamycin mixed
lipiodol or DC beads® (100-300/300-500/500-700 μm, ©BIOCOMPATIBLES UK LTD) were instituted through ten sessions for
13 months. The tumor size became reduced with a partial response after 10th TACE and post-TACE resection was performed. No
visible HCCs and decreased tumor markers were noted on the examinations 3 months after the resection. |
Key Words:
Hepatocelluar carcinoma; TACE; Liver resection |
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