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KMID : 1039320190190020159
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Journal of Liver Cancer
2019 Volume.19 No. 2 p.159 ~ p.164
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Hepatocellular Carcinoma with Segmental Portal Vein Invasion Exhibiting a Complete Response after Transarterial Radioembolization
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Yoon Jun-Sik
Yu Su-Jong
Lee Yun-Bin
Cho Eun-Ju
Lee Jeong-Hoon
Kim Yoon-Jun
Yoon Jung-Hwan
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Abstract
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The treatment options available for patients with hepatocellular carcinoma (HCC) with portal vein invasion (PVI) include sorafenib, transarterial radioembolization (TARE), radiation therapy (RT), transarterial chemoembolization with RT, and proton beam irradiation. Herein, we present a case of HCC with segmental PVI that was managed via TARE. The patient had a 4 cm HCC that invaded the segment VIII portal vein branch without extrahepatic spread. Liver function was Child-Pugh grade A, and performance status was good. TARE was performed without any adverse events, and a radiological complete response (CR) was achieved. Thereafter, the patient was followed-up every 3-6 months without any further treatment, and the CR was maintained for >3 years. Therefore, TARE may be a useful alternative therapeutic option for patients with HCC exhibiting segmental PVI.
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KEYWORD
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Hepatocellular carcinoma, Venous thrombosis, Radiotherapy, Therapeutic embolization, Yttrium-90
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