title: Tumor Regression in HCC Patient with Portal Vein Tumor Thrombosis after Intraportal Radiofrequency Thermal Ablation.
abstract: Hepatocellular carcinoma (HCC) is the third leading cause of cancer-related death worldwide. Portal vein tumor thrombosis (PVTT) is a frequent entity in HCC, which strictly limits the gold standard treatment options such as surgical resection and transarterial chemoembolization. Therefore, the prognosis of patients with PVTT is extremely poor and an emergence of seeking an alternative option for intervention is inevitable. We present a case of a 60-year-old male patient with HCC induced PVTT who was subjected to the intraportal RFA and stenting-VesOpen procedure. No additional medical intervention was performed. The repeated CT performed 5 months after the VesOpen procedure revealed significant decrease of the tumor size, patent right, and main portal vein and a recanalization of the left portal vein, which was not processed. At this time point, liver functional tests, appetite, and general condition of the patient were improved evidently. This report designates the RFA as an instrumental option of therapeutic intervention for HCC patients with PVTT.
authors: Department of Interventional Radiology, Tbilisi State Medical University, High Technology University Clinic, 0144 Tbilisi, Georgia.
authors: Malkhaz
authors: 0000-0003-1247-6885
authors: M
authors: Mizandari
authors: Department of Interventional Radiology, Tbilisi State Medical University, High Technology University Clinic, 0144 Tbilisi, Georgia.
authors: Tamta
authors: 0000-0001-5778-7754
authors: T
authors: Azrumelashvili
authors: Department of Interventional Radiology, Tbilisi State Medical University, High Technology University Clinic, 0144 Tbilisi, Georgia.
authors: Natela
authors: 0000-0001-7549-5077
authors: N
authors: Paksashvili
authors: Department of Immunology, Tbilisi State Medical University, 0177 Tbilisi, Georgia.
authors: Nino
authors: 0000-0002-9743-6438
authors: N
authors: Kikodze
authors: Department of Immunology, Tbilisi State Medical University, 0177 Tbilisi, Georgia.
authors: Ia
authors: 0000-0002-7439-6867
authors: Ia
authors: Pantsulaia
authors: Department of Immunology, Tbilisi State Medical University, 0177 Tbilisi, Georgia.
authors: Nona
authors: 0000-0003-1015-361X
authors: N
authors: Janikashvili
authors: Department of Immunology, Tbilisi State Medical University, 0177 Tbilisi, Georgia.
authors: Tinatin
authors: 0000-0003-1125-4025
authors: T
authors: Chikovani