A case of Vp3 hepatocellular carcinoma with a good QOL after multidisciplinary treatments |
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Authors: | Fukuchi Nariaki Hasuike Yasunori Hayashi Nobuyasu Soma Itsurou Izawa Hikaru Yoshida Tetsuya Ebisui Chikara Sakita Isao Fujimoto Takayosi Koshino Tsukasa |
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Institution: | Dept of Surgery, Hyogo Prefectural Nishinomiya Hospital. |
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Abstract: | A 74-year-old male was examined with abdominal CT scan because of general fatigue. Abdominal CT scan indicated enhanced tumors, 9x8 cm in size in subsegment 6/7 and 5 mm in size in subsegment 3. Tumor thrombus was observed in the right portal branch to the main portal vein. We diagnosed the patient with Vp3 hepatocellular carcinoma. A right hepatectomy with extraction of portal venous thrombus was performed. Unresectable tumor was treated with one shot arterial infusion (epi-ADM 40 mg) and TAE 3 times at an interval of three months. The side effect was only a fever and the QOL was good under the treatment. But a tumor in S1 had developed, and the patient died at about 12 months after the operation. |
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