[A case of Vp3 hepatocellular carcinoma with a good QOL after multidisciplinary treatments].
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.
Fukuchi
Nariaki
N
Dept of Surgery, Hyogo Prefectural Nishinomiya Hospital.
Hasuike
Yasunori
Y
Hayashi
Nobuyasu
N
Soma
Itsurou
I
Izawa
Hikaru
H
Yoshida
Tetsuya
T
Ebisui
Chikara
C
Sakita
Isao
I
Fujimoto
Takayosi
T
Koshino
Tsukasa
T
D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage*; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D003131:Combined Modality Therapy; D004317:Doxorubicin / Q000008:administration & dosage; D004621:Embolization, Therapeutic; D015251:Epirubicin / Q000008:administration & dosage; D006801:Humans; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D008297:Male; D009360:Neoplastic Cells, Circulating / Q000473:pathology; D011788:Quality of Life; D014057:Tomography, X-Ray Computed
D015251:Epirubicin; D004317:Doxorubicin