A Resected Case of Hepatocellular Carcinoma with Tumor Thrombus in the Portal Trunk Successfully Treated with Transcatheter Arterial Embolization and Intra-hepato-arterial Chemotherapy

Shinji Otani, Yasuaki Horooka, Makoto Kobayashi, Nobuaki Kaibara, Ryuichi Hamazoe¹⁾, Setsujo Shiota²⁾

First Department of Surgery, Faculty of Medicine, Tottori University
¹⁾Department of Surgery, Yonago Hakuai Hospital
²⁾Department of Surgery, Saiseikai Gotsu Hospital

A 61-year-old man suffered from hepatocellular carcinoma (HCC) with tumor thrombus in the portal trunk. He was successfully treated with subsegmental transcatheter arterial embolization (TAE) and intra-hepato-arterial chemotherapy through an implantable port (IHAC). After TAE and IHAC, right lobectomy of the liver was performed successfully. Pathological findings revealed complete necrosis of the main tumor and a fibrous change in the tumor thrombus. He is still alive without recurrence 4 years after the initial TAE. The combination of these treatments was thought to be very useful for advanced HCC with tumor thrombus.

Key words
hepatocellular carcinoma with tumor thrombus, transcatheter arterial embolization, intrahepato-arterial chemotherapy

Reprint requests
Shinji Otani First Department of Surgery, Faculty of Medicine, Tottori University
36-1 Nishi-machi, Yonago, 683-0826 JAPAN

Accepted
October 1, 1997

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