title: [A case report of hepatocellular carcinoma (Vp4)--an attempt to reduce residual tumor thrombus using combination therapy (hepatic arterial infusion, hepatic arterial embolization and radiation)].
abstract: A 57-year-old man was found to have elevated levels of HCC markers during an observation of chronic hepatitis C. Diffused hepatoma was involved in the posterior lobe, and tumor thrombus extended into the main portal vein (Vp4). Posterior segmentectomy and tumor thrombectomy were performed. But, CT scan 45 days after the operation showed an enhancement at the residual tumor thrombus in the posterior branch. The patient received a hepatic arterial infusion of 5-FU, followed by hepatic arterial embolization. Then, we chose radiation therapy to the tumor thrombus. The most recent CT showed no enhancement at the reduced tumor thrombus. There have been almost no reports of treatment for residual portal thrombus. Careful observations are necessary in such patients.
authors.affiliation: Dept. of Surgery,Hyogo Prefectural Nishinomiya Hospital.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kida
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Hasuike
authors.forename: Nariaki
authors.initials: N
authors.lastname: Fukuchi
authors.forename: Shinichi
authors.initials: S
authors.lastname: Fujiwara
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Hayashi
authors.forename: Masaki
authors.initials: M
authors.lastname: Tsujie
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: Takayoshi
authors.initials: T
authors.lastname: Fujimoto
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Koshino
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Izumiyama
mesh_terms: D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage*; D006528:Carcinoma, Hepatocellular / Q000628:therapy*; D004621:Embolization, Therapeutic; D005472:Fluorouracil / Q000008:administration & dosage*; D006498:Hepatectomy; D019698:Hepatitis C, Chronic / Q000150:complications; D006801:Humans; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating
chemical_list: D000964:Antimetabolites, Antineoplastic; D005472:Fluorouracil