| Long-term survival in a case of hepatocellular carcinoma with portal vein thrombosis treated with transarterial chemoembolization |
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Kwan Sik Park, Eun Hee Seo, Hyun Seok Lee, So Young Choi, Chang Min Cho, Won Young Tak, Young Oh Kweon |
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| 간문맥혈전을 동반한 간암의 화학색전술 후 장기생존 1예 |
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박관식 &#; 서은희 &#; 이현석 &#; 최소영 &#; 조창민 &#; 탁원영 &#; 권영, Eun Hee Seo, Hyun Seok Lee, So Young Choi, Chang Min Cho, Won Young Tak, Young Oh Kweon |
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| Abstract |
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Hepatocellular carcinoma (HCC) is the third most common malignancy in Korea and the prognosis of patients with
HCC is generally poor. Most patients with HCC have unresectable disease at presentation and only a small proportion of
patients diagnosed early receive curative treatment. Transarterial chemoembolization (TACE) is a widely used palliative
treatment for advanced HCC and its prognostic benefit has been proven in several studies. TACE is contraindicated for
patients with portal vein tumor thrombosis (PVT) because it carries a potential risk of acute hepatic failure. Recently,
however, a few studies have provided evidence of a survival benefit after TACE in patients with PVT if they have good
hepatic reserve and collateral circulation around the portal trunk. We experienced a case of HCC with PVT, with
long-term survival and no evidence of recurrence or hepatic failure after TACE, and present this case with a review of
the relevant literature. (Korean J Med 76:215-219, 2009) |
| Key Words:
Hepatocellular Carcinoma; Portal vein; Thrombosis; Therapeutic Chemoembolization |
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