title: Transportal Radioembolization as Salvage Hepatocellular Carcinoma Therapy to Maintain Liver Transplant Candidacy.
abstract: A 53-year-old woman with chronic hepatitis B and multifocal hepatocellular carcinoma was unable to receive transarterial radioembolization and had disease progression despite multiple chemoembolizations and systemic chemotherapy. Transportal radioembolization (TPRE) to maintain transplant candidacy was performed. Two lesions (1.7 cm, 1.4 cm) were treated with a single session of TPRE. Imaging performed at 4 months after TPRE demonstrated complete response in one lesion and stable disease in the other. This case illustrates TPRE as a salvage therapy for hepatocellular carcinoma in select patients.
authors.affiliation: Divisions of Interventional Radiology, University of Florida, 1600 SW Archer Road, Gainesville, FL 32605. Electronic address: toskib@radiology.ufl.edu.
authors.forename: Beau B
authors.initials: BB
authors.lastname: Toskich
authors.affiliation: Divisions of Interventional Radiology, University of Florida, 1600 SW Archer Road, Gainesville, FL 32605.
authors.forename: David M
authors.initials: DM
authors.lastname: Tabriz
authors.affiliation: Transplant Surgery, University of Florida, 1600 SW Archer Road, Gainesville, FL 32605.
authors.forename: Ivan
authors.initials: I
authors.lastname: Zendejas
authors.affiliation: Gastroenterology, Hepatology, and Nutrition (R.C.), University of Florida, 1600 SW Archer Road, Gainesville, FL 32605.
authors.forename: Roniel
authors.initials: R
authors.lastname: Cabrera
authors.affiliation: Divisions of Interventional Radiology, University of Florida, 1600 SW Archer Road, Gainesville, FL 32605.
authors.forename: Brian
authors.initials: B
authors.lastname: Geller
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000628:therapy*; D059248:Chemoradiotherapy / Q000379:methods*; D003131:Combined Modality Therapy; D004608:Eligibility Determination / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D016031:Liver Transplantation / Q000379:methods*; D008875:Middle Aged; D018579:Patient Selection; D011169:Portal Vein / Q000000981:diagnostic imaging; D011300:Preoperative Care / Q000379:methods; D011877:Radionuclide Imaging; D016879:Salvage Therapy / Q000379:methods*