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Long-term Disease-free Survival after Trimodality Treatment of Recurrent Hepatocellular Carcinoma Involving the Inferior Vena Cava and Right Atrium

대한간암학회지 2019년 19권 2호 p.149 ~ 153
박선민, 윤원섭, 임형준, Rim Chai-Hong,
소속 상세정보
박선민 ( Park Sun-Min ) - Korea University Ansan Hospital Department of Radiation Oncology
윤원섭 ( Yoon Won-Sup ) - Korea University Ansan Hospital Department of Radiation Oncology
임형준 ( Yim Hyung-Joon ) - Korea University Ansan Hospital Department of Internal Medicine
 ( Rim Chai-Hong ) - Korea University Ansan Hospital Department of Radiation Oncology

Abstract


Hepatocellular carcinoma (HCC) involving the inferior vena cava (IVC) and/or right atrium (RA) is a rare and intractable disease. A standard treatment has not been established yet, owing to the rarity of disease and difficulties in the therapeutic treatment. Herein, we report the case of a patient who had recurrent HCC (after a prior lobectomy) involving both IVC and RA and underwent multimodality treatments including external beam radiotherapy and transarterial chemotherapy, followed by sorafenib treatment. The disease was well controlled with local treatments and sustained for 7 years until last follow-up after the systemic treatments. Our case shows a possibility of long-term survival for patients affected by HCC involving IVC and/or RA, after a rigorous multimodality treatment strategy.

키워드

Liver neoplasm; Inferior vena cava; Right atrium; Radiotherapy

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