[Aggressive surgical treatment prolonged survival of a patient with synchronous hepatocellular carcinoma with tumor thrombus in the inferior vena cava and sigmoid colon cancer].
A 71-year-old man was admitted to our institution having a HCC with tumor thrombus extending to the inferior vena cava. He simultaneously had a sigmoid colon cancer. S8 segmentectomy combined with a removal of tumor thrombus in the IVC and sigmoidectomy was performed. He had an uneventful postoperative course. He had a recurrence to the lung 46 months after the surgery, and underwent a pulmonary partial resection. Hepatic recurrence was found in 59 months after the initial surgery. Transcatheter arterial chemoembolization was performed for the treatment. The patient died of esophageal variceal rupture 78 months after the surgery. Although this case was a highly advanced hepatocellular carcinoma with tumor thrombus in the inferior vena cava and synchronous sigmoid colon cancer, a surgical treatment and multidisciplinary therapy may contribute to a long-term survival.
Okamura
Daiki
D
Dept. of General Surgery, Chiba University Graduate School of Medicine.
Yoshidome
Hiroyuki
H
Kimura
Fumio
F
Shimizu
Hiroaki
H
Otsuka
Masayuki
M
Kato
Atsushi
A
Yoshitomi
Hideyuki
H
Nozawa
Satoshi
S
Furukawa
Katsunori
K
Mitsuhashi
Noboru
N
Takeuchi
Dan
D
Takayashiki
Tsukasa
T
Suda
Kosuke
K
Takano
Shigeaki
S
Miyazaki
Masaru
M
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000098:blood supply / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D005500:Follow-Up Studies; D006526:Hepatitis C / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000098:blood supply / Q000473:pathology* / Q000601:surgery; D011379:Prognosis; D012811:Sigmoid Neoplasms / Q000098:blood supply / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D013479:Superior Vena Cava Syndrome / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed