[A case of hepatocellular carcinoma with Vp4 tumor thrombus treated by radiation therapy before hepatectomy].

Takao Tamesa, Kazuhiko Sakamoto, Taichi Kuwahara, Noriaki Hashimoto, Yukio Tokumitsu, Yoshitaro Shindo, Michihisa Iida, Yoshihiro Tokuhisa, Yoshinari Maeda, Nobuaki Suzuki, Kiyoshi Yoshimura, Tomio Ueno, Shigefumi Yoshino, Shoichi Hazama, Masaaki Oka

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

A 61-year-old man who complained of right hypochondralgia was diagnosed as hepatocellular carcinoma (HCC) associated with hepatitis B virus (HBV) infection. The tumor was located in the right lobe and S3, and the tumor thrombus extended into the main portal and left portal veins. Preoperatively, real-time tumor-tracking radiation therapy was performed on the tumor thrombus (20 Gy/4 Fr),after vessel coils were placed at the anterior hepatic artery as a marker for the radiation. Ten days after radiation therapy, extended right hepatectomy with thrombectomy and S3 partial hepatectomy were performed. There were no postsurgical complications, and intrahepatic artery infusion chemotherapy was performed. The patient was alive with no recurrences 20 months after surgery. Radiation therapy before hepatectomy is an effective treatment for portal venous tumor thrombus in HCC.

Original languageEnglish (US)
Title of host publicationGan to kagaku ryoho. Cancer & chemotherapy
Pages1807-1809
Number of pages3
Volume40
Edition12
StatePublished - 2013
Externally publishedYes

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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  • Cite this

    Tamesa, T., Sakamoto, K., Kuwahara, T., Hashimoto, N., Tokumitsu, Y., Shindo, Y., Iida, M., Tokuhisa, Y., Maeda, Y., Suzuki, N., Yoshimura, K., Ueno, T., Yoshino, S., Hazama, S., & Oka, M. (2013). [A case of hepatocellular carcinoma with Vp4 tumor thrombus treated by radiation therapy before hepatectomy]. In Gan to kagaku ryoho. Cancer & chemotherapy (12 ed., Vol. 40, pp. 1807-1809)