문맥혈전을 동반한 간세포암 환자에서 간동맥화학색전술과 정위방사선치료 후 완전관해 및 담관협착을 보인 사례

A Case of Complete Response with Biliary Stenosis after Hepatic Arterial Injection and Stereotactic Body Radiotherapy to Hepatoecllular Carcinoma with Portal Vein Thrombosis
  • 임채홍
  • 임형준
  • 정영걸
  • 정환훈
  • 서상준
  • ... 윤원섭

초록

Curative treatment of hepatocellular carcinoma (HCC) with portal vein invasion is difficult to achieve, and the prognosis is dismal. Combining external beam radiotherapy (EBRT) with hepatic arterial infusion chemotherapy (HAIC) has shown favorable local therapeutic effects for patients with HCC exhibiting portal vein invasion. Stereotactic body radiotherapy (SBRT) is a recently developed EBRT modality that shows excellent tumor control. The combination of SBRT and HAIC for HCC with portal vein invasion has not been well-studied. We report a patient with HCC and portal vein invasion who achieved 15 months of survival with complete response status after combination SBRT and HAIC. The patient later experienced grade 3 biliary stricture and died of liver abscesses of unknown etiologies that subsequently appeared.

키워드

Hepatocellular carcinomaStereotactic body radiotherapyHepatic arterial infusion chemotherapyPortal vein
제목
문맥혈전을 동반한 간세포암 환자에서 간동맥화학색전술과 정위방사선치료 후 완전관해 및 담관협착을 보인 사례
제목 (타언어)
A Case of Complete Response with Biliary Stenosis after Hepatic Arterial Injection and Stereotactic Body Radiotherapy to Hepatoecllular Carcinoma with Portal Vein Thrombosis
저자
임채홍임형준정영걸정환훈서상준윤원섭
발행일
2018
저널명
대한간암학회지
18
1
페이지
75 ~ 79