Successful multimodality treatment for advanced hepatocellular carcinoma with tumor thrombosis of the main portal trunk: a case study

被引:0
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作者
Kosaka, Yumi [1 ]
Kawaoka, Tomokazu [1 ]
Ogawa, Yutaro [1 ]
Amioka, Kei [1 ]
Naruto, Kensuke [1 ]
Yoshikawa, Yuki [1 ]
Ando, Yuwa [1 ]
Suehiro, Yosuke [1 ]
Yamaoka, Kenji [1 ]
Fujii, Yasutoshi [1 ]
Uchikawa, Shinsuke [1 ]
Ono, Atsushi [1 ]
Yamauchi, Masami [1 ]
Imamura, Michio [1 ]
Chosa, Keigo [2 ]
Awai, Kazuo [2 ]
Nagata, Yasushi [3 ,4 ]
Chayama, Kazuaki [5 ,6 ,7 ]
Aikata, Hiroshi [1 ]
机构
[1] Hiroshima Univ, Grad Sch Biomed & Hlth Sci, Dept Gastroenterol & Metab, Minami Ku, 123 Kasumi, Hiroshima 7348551, Japan
[2] Hiroshima Univ, Diagnost Radiol, Hiroshima, Japan
[3] Hiroshima Univ, Therapeut Radiol Inst, Hiroshima, Japan
[4] Hiroshima Univ, Grad Sch Biomed Sci, Hiroshima, Japan
[5] Hiroshima Univ, Res Ctr Hepatol & Gastroenterol, Hiroshima, Japan
[6] Inst Phys & Chem Res RIKEN, Ctr Integrat Med Sci, Yokohama, Kanagawa, Japan
[7] Hiroshima Univ, Grad Sch Biomed & Hlth Sci, Collaborat Res Lab Med Innovat, Hiroshima, Japan
关键词
Hepatocellular carcinoma; Lenvatinib; Portal vein tumor thrombosis; Hepatic arterial infusion chemotherapy; Radiation therapy; ARTERIAL INFUSION CHEMOTHERAPY; STENT PLACEMENT; TRANSARTERIAL CHEMOEMBOLIZATION; CONFORMAL RADIOTHERAPY; COMBINATION THERAPY; VENOUS STENOSIS; SORAFENIB; 5-FLUOROURACIL; PROGNOSIS; CISPLATIN;
D O I
10.1007/s12328-021-01481-9
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The overall survival of patients with advanced hepatocellular carcinoma with tumor thrombosis of the main trunk or bilobar branches of the portal vein is extremely poor. Moreover, there is no standard treatment established for the condition. Herein, we present the case of a 65-year-old man who were treated the patient with hepatic arterial infusion chemotherapy, radiation therapy for tumor thrombosis, portal vein stent placement, lenvatinib administration, and renal venous shunt embolization. A complete response was observed according to mRECIST and the patient has been alive for 14 months since treatment initiation with no tumor recurrence.
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收藏
页码:1517 / 1524
页数:8
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