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KMID : 0964020130130010065
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Journal of the Korean Liver Cancer Study Group
2013 Volume.13 No. 1 p.65 ~ p.69
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A Case of Unresectable Hepatocellular Carcinoma Treated by Repeated Transcatheter Arterial Chemoembolization Using DC beads® Followed with Resection
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Song Jeong-Yeop
Kim Young-Seok
Khil Eun-Kyung
Chin Su-Sie
Choi Kyu-Sung
Lee Yun-Nah
Kim Sang-Gyune
Jeong Soung-Won
Jang Jae-Young
Lee Sae-Hwan
Kim Hong-Soo
Kim Boo-Sung
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Abstract
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In patients with unresectable hepatocellular carcinoma (HCC) and no anti-cancer treatment, the prognosis is quite poor. But in some cases, repeated sessions of transcatheter arterial chemoembolization (TACE) reduce the tumor size even to resectable, and post-TACE resection may prolong the survival time. We present a case of 50-year-old HBV carrier woman with abdominal distension. The diagnosis was huge HCC with intrahepatic metastasis. Repeated intra-arterial injections of adriamycin mixed lipiodol or DC beads® (100-300/300-500/500-700 μm, ⓒBIOCOMPATIBLES UK LTD) were instituted through ten sessions for 13 months. The tumor size became reduced with a partial response after 10th TACE and post-TACE resection was performed. No visible HCCs and decreased tumor markers were noted on the examinations 3 months after the resection.
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KEYWORD
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Hepatocelluar carcinoma, TACE, Liver resection
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