Spontaneous Regression of Hepatocellular Carcinoma with Portal Vein Tumor Thrombus

An 83-year-old man underwent transcatheter arterial chemoembolization (TACE) for a 20-mm hepatocellular carcinoma (HCC) in Couinaud's segment 4. Computed tomography (CT) 4 months after TACE showed tumor thrombus in the portal vein in addition to diffuse metastases and arterioportal shunts in th...

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Autores principales: Koya, Yudai, Suzuki, Tomohiro, Tai, Mayumi, Ichii, Osamu, Matsuhashi, Nobuo, Ejiri, Yutaka, Shibata, Michihiko, Harada, Masaru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2018
Materias:
Single Case
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120381/
https://www.ncbi.nlm.nih.gov/pubmed/30186093
http://dx.doi.org/10.1159/000490661
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author Koya, Yudai
Suzuki, Tomohiro
Tai, Mayumi
Ichii, Osamu
Matsuhashi, Nobuo
Ejiri, Yutaka
Shibata, Michihiko
Harada, Masaru
author_facet Koya, Yudai
Suzuki, Tomohiro
Tai, Mayumi
Ichii, Osamu
Matsuhashi, Nobuo
Ejiri, Yutaka
Shibata, Michihiko
Harada, Masaru
author_sort Koya, Yudai
collection PubMed
description An 83-year-old man underwent transcatheter arterial chemoembolization (TACE) for a 20-mm hepatocellular carcinoma (HCC) in Couinaud's segment 4. Computed tomography (CT) 4 months after TACE showed tumor thrombus in the portal vein in addition to diffuse metastases and arterioportal shunts in the left lobe. Although we performed the best supportive care, the tumor thrombus in the portal vein and tumors in the left lobe had completely disappeared on CT 16 months after the TACE. Rapidly grown portal vein tumor thrombus and arterioportal shunt might be the causes of spontaneous regression of HCC, probably associated with tumor hypoxia.
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spelling pubmed-61203812018-09-05 Spontaneous Regression of Hepatocellular Carcinoma with Portal Vein Tumor Thrombus Koya, Yudai Suzuki, Tomohiro Tai, Mayumi Ichii, Osamu Matsuhashi, Nobuo Ejiri, Yutaka Shibata, Michihiko Harada, Masaru Case Rep Gastroenterol Single Case An 83-year-old man underwent transcatheter arterial chemoembolization (TACE) for a 20-mm hepatocellular carcinoma (HCC) in Couinaud's segment 4. Computed tomography (CT) 4 months after TACE showed tumor thrombus in the portal vein in addition to diffuse metastases and arterioportal shunts in the left lobe. Although we performed the best supportive care, the tumor thrombus in the portal vein and tumors in the left lobe had completely disappeared on CT 16 months after the TACE. Rapidly grown portal vein tumor thrombus and arterioportal shunt might be the causes of spontaneous regression of HCC, probably associated with tumor hypoxia. S. Karger AG 2018-08-21 /pmc/articles/PMC6120381/ /pubmed/30186093 http://dx.doi.org/10.1159/000490661 Text en Copyright © 2018 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Single Case
Koya, Yudai
Suzuki, Tomohiro
Tai, Mayumi
Ichii, Osamu
Matsuhashi, Nobuo
Ejiri, Yutaka
Shibata, Michihiko
Harada, Masaru
Spontaneous Regression of Hepatocellular Carcinoma with Portal Vein Tumor Thrombus
title Spontaneous Regression of Hepatocellular Carcinoma with Portal Vein Tumor Thrombus
title_full Spontaneous Regression of Hepatocellular Carcinoma with Portal Vein Tumor Thrombus
title_fullStr Spontaneous Regression of Hepatocellular Carcinoma with Portal Vein Tumor Thrombus
title_full_unstemmed Spontaneous Regression of Hepatocellular Carcinoma with Portal Vein Tumor Thrombus
title_short Spontaneous Regression of Hepatocellular Carcinoma with Portal Vein Tumor Thrombus
title_sort spontaneous regression of hepatocellular carcinoma with portal vein tumor thrombus
topic Single Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120381/
https://www.ncbi.nlm.nih.gov/pubmed/30186093
http://dx.doi.org/10.1159/000490661
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