title: [A case of Vp3 hepatocellular carcinoma with a good QOL after multidisciplinary treatments].
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.
authors.affiliation: Dept of Surgery, Hyogo Prefectural Nishinomiya Hospital.
authors.forename: Nariaki
authors.initials: N
authors.lastname: Fukuchi
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Hasuike
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Hayashi
authors.forename: Itsurou
authors.initials: I
authors.lastname: Soma
authors.forename: Hikaru
authors.initials: H
authors.lastname: Izawa
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yoshida
authors.forename: Chikara
authors.initials: C
authors.lastname: Ebisui
authors.forename: Isao
authors.initials: I
authors.lastname: Sakita
authors.forename: Takayosi
authors.initials: T
authors.lastname: Fujimoto
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Koshino
mesh_terms: 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
chemical_list: D015251:Epirubicin; D004317:Doxorubicin