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A Case of Hepatocellular Carcinoma with Portal Vein Tumor Thrombi which was Performed Hepatectomy aftera Down-staging by Proton Therapy

Other Title
양성자치료로 Down-staging 후 간절제술을 시행한 문맥침윤 간세포암 1예
Authors
왕, 희정; 김, 봉완; 허, 위광
Citation
Daehan ganam yeon'gu hoeji, 11(1):56-59, 2011
Journal Title
Daehan ganam yeon'gu hoeji; Journal of the Korean Liver Cancer Study Group; 대한간암연구회지
ISSN
1598-6314
Abstract
A case of hepatocellular carcinoma (HCC) with portal vein tumor thrombi (PVTT) which was performed hepatectomy after down-staging by proton therapy is reviewed. Generally, the recommended therapeutic strategy for this kind of HCC is radiation therapy, systemic or infusion anticancer chemotherapy. However, the response of HCC and its PVTT of this 56 year-old male patient was relatively good after 22 times of proton therapy, and we performed right hemihepatectomy on the concept of clinical trial under the informed consent of patient and his families. He is still alive without recurrence 15 months after hepatectomy. We suggest that hemihepatectomy with removal of PVTT could be an alternative strategy in the PVTT accompanied HCC cases who show good responses after the above generally recommended therapies.
Keywords
Hepatocellular carconomaPortal vein tumor thrombusDown-stagingHepatectomy
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
AJOU Authors
왕, 희정김, 봉완
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