KMID : 0964020120120010051
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Journal of the Korean Liver Cancer Study Group 2012 Volume.12 No. 1 p.51 ~ p.57
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A Case of Advanced Hepatocellular Carcinoma which was Supervening with Renal Cell Cancer Cured by Repeated Transarterial Chemoembolization and Sorafenib after Resection
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Kim Bun
Min Jae-Hoon Kim Seung-Up Park Jun-Yong Lee Kwang-Hoon Lee Do-Youn Choi Jin-Sub Choi Young-Deuk Cho Nam-Hoon Park Young-Nyun Ahn Sang-Hoon Han Kwang-Hyub Chon Chae-Yoon Kim Do-Young
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Abstract
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Advanced hepatocellular carcinoma (HCC) is difficult to treat and the survival is poor. Here, we present a patient diagnosed as advanced HCC (stage IIIa) which was supervening with early renal cell cancer (stage I). The patient was treated with pre-operational transarterial chemoembolization (TACE) and surgical resection (right hepatectomy, right nephrectomy, and cholecystectomy). Sorafenib were taken continually after surgery. Multiple recurred HCC nodules in remnant liver were detected 2 months later after surgery. Combined treatment modalities including 4 sessions of TACE, and 12 cycles of 5-flurouracil (FU)/carboplatin based hepatic arterial infusional chemotherapy (HAIC) induced complete response. After the diagnosis of advanced HCC, the patient survived 36 months and experienced disease-free status for 19 months.
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KEYWORD
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Hepatocellular carcinoma, Renal cell carcinoma, Sorafenib, Transarterial chemoembolization, Hepatic artery infusional chemotherapy, Resection
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