Long-term palliative treatment of hepatocellular carcinoma extending into the portal vein and bile duct by chemoembolization and metallic stenting.
We present a patient with hepatocellular carcinoma accompanied by portal vein and bile duct tumor thrombi. The patient was treated with a spiral Z-stent covered by a polyethylene sheet placed in the bile duct, a Wallstent placed in the portal vein, chemoembolization, and external radiation therapy. The patient is alive with patency of both endoprostheses 18 months later.
Yoshioka
T
T
Department of Radiology, Nara Prefectural Hospital, 1-30-1 Hiramatsu, Nara-City, Nara 631, Japan.
Uchida
H
H
Kitano
S
S
Makutani
S
S
Maeda
M
M
Taoka
T
T
Ohishi
H
H
D000903:Antibiotics, Antineoplastic / Q000008:administration & dosage; D001653:Bile Ducts, Intrahepatic; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D016461:Chemoembolization, Therapeutic; D015251:Epirubicin / Q000008:administration & dosage; D006801:Humans; D007459:Iodized Oil / Q000008:administration & dosage; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating; D010166:Palliative Care / Q000379:methods*; D011169:Portal Vein; D011859:Radiography; D015607:Stents
D000903:Antibiotics, Antineoplastic; D015251:Epirubicin; D007459:Iodized Oil