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Title of Journal: Clin J Gastroenterol

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Abbravation: Clinical Journal of Gastroenterology

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Springer Japan

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10.1016/j.bbabio.2010.01.015

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1865-7265

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Longterm surviving patient with inferior vena cav

Authors: Kensaku Sanefuji Kengo Fukuzawa Masahiro Okamoto Seiichiro Kai Hajime Takaki Yonemasu Hirotoshi Akira Motohiro Kenzo Wakasugi
Publish Date: 2011/02/15
Volume: 4, Issue: 2, Pages: 123-128
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Abstract

We present a case of longterm survival in a patient with inferior vena cava tumor thrombus IVCTT and extrahepatic metastasis after resection for spontaneous ruptured hepatocellular carcinoma HCC The patient was a 73yearold Japanese man previously diagnosed with chronic hepatitis B He was referred to our emergency room and diagnosed with spontaneous ruptured HCC The patient was immediately treated with transcatheter arterial embolization and we then performed secondstage hepatic resection 50 days later Although desgammacarboxy prothrombin was reduced to a normal level after hepatectomy it gradually increased and computed tomography showed a disseminated tumor in the diaphragm near S2 of the liver with IVCTT and right atrium tumor thrombus Recurrent HCC was treated with monthly transcatheter arterial infusion chemotherapy TAI and conformal radiotherapy RT of 40 Gy After TAI and RT procedures the disseminated tumor and IVCTT completely disappeared Four years after TAI and RT procedures the tumors were well controlled with no local recurrence About 6−7 years after spontaneous ruptured HCC lung metastasis and spleen metastasis were detected and resected respectively The patient is still alive and doing well over 7 years after spontaneous ruptured HCC

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