학술논문

DEB-TACEと放射線療法の併用が著効した門脈腫瘍栓を伴う多発肝細胞癌の二例 / Two cases of the hepatocellular carcinoma with portal vein tumor thrombus treated with DEB-TACE effectively
Document Type
Journal Article
Source
肝臓 / Kanzo. 2017, 58(1):28
Subject
DEB-TACE
drug-eluting beads transcatheter arterial chemoembolization
huge hepatocellular carcinoma
portal vein tumor thrombosis
radiotherapy
transcatheter arterial chemoembolization
巨大肝細胞癌
放射線療法
肝動脈化学療法塞栓術
門脈腫瘍栓
Language
Japanese
ISSN
0451-4203
1881-3593
Abstract
Case 1 is a 60s-years-old man with multiple advanced hepatocellular carcinoma (HCC) with portal vein tumor thrombosis (PVTT) in the first left branch (Vp3) was admitted to our hospital. Drug-Eluting Beads Transcatheter Arterial Chemoembolization (DEB-TACE) was done with epirubicin. Subsequently, radiotherapy to area of the PVTT was performed. DEB-TACE was performed three times in total and CR was achieved. Case 2 is 80s-year-old man with advanced HCC. He had been treated with conventional-TACE with miriplatin three times, however, HCC with PVTT was recurred. Radiotherapy was done to PVTT and c-TACE with cisplatin was done two times. HCC with PVTT was recurred again. DEB-TACE with epirubicin was performed one time and CR was achieved. Although careful indication is required, it was thought that DEB-TACE can be considered as a treatment for HCC with PVTT up to VP3.