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Y-configuration stent combined with iodine-125 seeds strand for the treatment of hepatocellular carcinoma with tumor thrombosis in portal vein branches: A case report

RATIONALE: Currently, the treatment of hepatocellular carcinoma (HCC) associated with portal vein tumor thrombosis (PVTT) is a challenge. Percutaneous puncture endovascular placement of iodine-125 ((125)I) seeds strand and stent is reported to treat HCC with tumor thrombus effectively. However, it i...

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Autores principales: Tan, Tan, Xiao, Yudong, Zhou, Shunke, Ma, Cong, Zhang, Zishu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704838/
https://www.ncbi.nlm.nih.gov/pubmed/29145293
http://dx.doi.org/10.1097/MD.0000000000008660
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author Tan, Tan
Xiao, Yudong
Zhou, Shunke
Ma, Cong
Zhang, Zishu
author_facet Tan, Tan
Xiao, Yudong
Zhou, Shunke
Ma, Cong
Zhang, Zishu
author_sort Tan, Tan
collection PubMed
description RATIONALE: Currently, the treatment of hepatocellular carcinoma (HCC) associated with portal vein tumor thrombosis (PVTT) is a challenge. Percutaneous puncture endovascular placement of iodine-125 ((125)I) seeds strand and stent is reported to treat HCC with tumor thrombus effectively. However, it is proved to be only suitable for the main portal vein (MPV) thrombus. PATIENT CONCERNS: A 42-year-old male patient was referred to our institution after experiencing right upper abdominal distention without abdominal pain, nausea, or vomiting for 2 weeks. The patient had a history of hepatitis B virus infection over a 20 year period. DIAGNOSIS: After a full evaluation, the patient was diagnosed with primary HCC with a tumor thrombus in both main and branch portal veins. INTERVENTIONS: We used a Y-configuration stent combined with (125)I seeds strand to treat the tumor thrombus in both main and branch portal veins. OUTCOMES: The patient's liver function and the stent patency period were improved. More importantly, the patient had an acceptable survival time. LESSONS: A Y-configuration stent makes it possible to treat tumor thrombosis in portal vein branches (PVBs). However, the long-term curative effects of Y-configuration stents need to be verified.
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spelling pubmed-57048382017-12-07 Y-configuration stent combined with iodine-125 seeds strand for the treatment of hepatocellular carcinoma with tumor thrombosis in portal vein branches: A case report Tan, Tan Xiao, Yudong Zhou, Shunke Ma, Cong Zhang, Zishu Medicine (Baltimore) 5700 RATIONALE: Currently, the treatment of hepatocellular carcinoma (HCC) associated with portal vein tumor thrombosis (PVTT) is a challenge. Percutaneous puncture endovascular placement of iodine-125 ((125)I) seeds strand and stent is reported to treat HCC with tumor thrombus effectively. However, it is proved to be only suitable for the main portal vein (MPV) thrombus. PATIENT CONCERNS: A 42-year-old male patient was referred to our institution after experiencing right upper abdominal distention without abdominal pain, nausea, or vomiting for 2 weeks. The patient had a history of hepatitis B virus infection over a 20 year period. DIAGNOSIS: After a full evaluation, the patient was diagnosed with primary HCC with a tumor thrombus in both main and branch portal veins. INTERVENTIONS: We used a Y-configuration stent combined with (125)I seeds strand to treat the tumor thrombus in both main and branch portal veins. OUTCOMES: The patient's liver function and the stent patency period were improved. More importantly, the patient had an acceptable survival time. LESSONS: A Y-configuration stent makes it possible to treat tumor thrombosis in portal vein branches (PVBs). However, the long-term curative effects of Y-configuration stents need to be verified. Wolters Kluwer Health 2017-11-17 /pmc/articles/PMC5704838/ /pubmed/29145293 http://dx.doi.org/10.1097/MD.0000000000008660 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 5700
Tan, Tan
Xiao, Yudong
Zhou, Shunke
Ma, Cong
Zhang, Zishu
Y-configuration stent combined with iodine-125 seeds strand for the treatment of hepatocellular carcinoma with tumor thrombosis in portal vein branches: A case report
title Y-configuration stent combined with iodine-125 seeds strand for the treatment of hepatocellular carcinoma with tumor thrombosis in portal vein branches: A case report
title_full Y-configuration stent combined with iodine-125 seeds strand for the treatment of hepatocellular carcinoma with tumor thrombosis in portal vein branches: A case report
title_fullStr Y-configuration stent combined with iodine-125 seeds strand for the treatment of hepatocellular carcinoma with tumor thrombosis in portal vein branches: A case report
title_full_unstemmed Y-configuration stent combined with iodine-125 seeds strand for the treatment of hepatocellular carcinoma with tumor thrombosis in portal vein branches: A case report
title_short Y-configuration stent combined with iodine-125 seeds strand for the treatment of hepatocellular carcinoma with tumor thrombosis in portal vein branches: A case report
title_sort y-configuration stent combined with iodine-125 seeds strand for the treatment of hepatocellular carcinoma with tumor thrombosis in portal vein branches: a case report
topic 5700
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704838/
https://www.ncbi.nlm.nih.gov/pubmed/29145293
http://dx.doi.org/10.1097/MD.0000000000008660
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