title: [A Case of Hepatocellular Carcinoma with a Vp4 Tumor Thrombus Treated by Multidisciplinary Therapy].
abstract: We report a case of hepatocellular carcinoma (HCC) with a Vp4 tumor thrombus treated successfully with multidisciplinary therapy. A 59-year-old woman who complained of abdominal distension was diagnosed as having HCC associated with hepatitis B virus (HBV) infection. The tumor was located in the left lobe, caudate lobe, and S6, and the tumor thrombus extended into the main portal and right portal veins. Extended left lobectomy with thrombectomy and S6 partial hepatectomy were performed after intrahepatic arterial infusion chemotherapy with radiation. During the surgery, the collateral circulation was preserved for bleeding control and residual liver function preservation. The patient was alive 12 months after surgery. Cases of advanced HCC with Vp4 can be successfully treated by multidisciplinary therapy.
authors.affiliation: Dept. of Digestive Surgery and Surgical Oncology, Yamaguchi University Graduate School of Medicine.
authors.forename: Keisuke
authors.initials: K
authors.lastname: Ohta
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Tokuhisa
authors.forename: Takao
authors.initials: T
authors.lastname: Tamesa
authors.forename: Masao
authors.initials: M
authors.lastname: Nakajima
authors.forename: Satoshi
authors.initials: S
authors.lastname: Matsukuma
authors.forename: Yukio
authors.initials: Y
authors.lastname: Tokumitsu
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Sakamoto
authors.forename: Shigeru
authors.initials: S
authors.lastname: Takeda
authors.forename: Tomio
authors.initials: T
authors.lastname: Ueno
authors.forename: Shigefumi
authors.initials: S
authors.lastname: Yoshino
authors.forename: Shoichi
authors.initials: S
authors.lastname: Hazama
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nagano
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000628:therapy*; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D006498:Hepatectomy; D006801:Humans; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000150:complications / Q000473:pathology / Q000628:therapy*; D008875:Middle Aged; D013927:Thrombosis / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome