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HOME > J Liver Cancer > Volume 5(1); 2005 > Article
Case Report Curative Resection of Advanced Hepatocellular Carcinoma (TNM stage IVa) after Concurrent Chemo-Radiation Therapy: A Case Report
DY Kim1, KH Han1, SH Ahn1, CM Moon1, KK Kim1, CY Chon1, YM Moon1, KS Kim3, JS Sung2, YN Park4
Journal of Liver Cancer 2005;5(1):22-26
DOI: https://doi.org/
Published online: June 30, 2005
1Departments of Internal Medicine Yonsei University College of Medicine, Seoul, Korea
2Departments of Radiation Oncology Yonsei University College of Medicine, Seoul, Korea
3Departments of Surgery Yonsei University College of Medicine, Seoul, Korea
4Departments of Pathology Yonsei University College of Medicine, Seoul, Korea
Corresponding author:  KH Han,
Email: gihankhys@yumc.yonsei.ac.kr
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Hepatocellular carcinoma (HCC) with portal vein thrombosis is a difficult form of HCC to treat. Therefore, no specific treatment mordality has been absent. Here, we present a patient diagnosed as hepatocellular carcinoma with right portal vein thrombosis (stage IVa). The patient had been treated with concurrent chemo-radiation therapy (CCRT) for five weeks. After CCRR, tumor size was markedly decreased. Two courses of additional transcatheter arterial chemoembolization (TACE) and five courses of intraarterial 5-fluorouracil (5-FU)/cisplatin infusion were performed. Follow-up computerized tomography (CT) scan showed about 2cm-sized nodular lesion at lateral margin of right hepatic lobe. On angiography, it was shown that both the mass and intestine were commonly supplied by omental artery. For the treatment of the mass, right hepatic lobectomy was undertaken.


JLC : Journal of Liver Cancer