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KMID : 0964020130130020152
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Journal of the Korean Liver Cancer Study Group
2013 Volume.13 No. 2 p.152 ~ p.157
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A Case of Partial Response of Hepatocellular Carcinoma Induced by Concurrent Chemoradiation and Hepatic Arterial Infusion Chemotherapy after Trans-Arterial Chemoembolization
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Song Myung-Eun
Lee Sang-Heun
Kim Mi-Na
Lee Dong-Jun
Kim Beom-Kyung
Kim Seung-Up
Park Jun-Yong
Ahn Sang-Hoon
Chon Chae-Yoon
Han Kwang-Hyub
Seong Jin-Sil
Kim Do-Young
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Abstract
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A 63-year-old man patient was referred for treatment of infiltrative hepatocellular carcinoma with hilar invasion after transarterial chemoembolization. Serum alkaline phosphatase and bilirubin were elevated, liver dynamic CT showed infiltrative type mass in left hepatic lobe and right hepatic dome with hilar invasion and left intrahepatic duct dilatation. Also CT showed obliteration of left portal vein and metastasis of lymph node around common bile duct. He was diagnosed as hepatocellular carcinoma (UICC stage IV-A, BCLC stage C). With the percutaneous transhepatic biliary drainage and the concurrent chemoradiation therapy and the 4th cycle of hepatic arterial infusion chemotherapy for infiltrative mass, viable tumor was decreased in resectable size at eight months from initial diagnosis.
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KEYWORD
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Hepatocellular carcinoma, Concurrent chemoradiation, Hepatic arterial infusion chemotherapy
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