The Best Management of Portal Neoplastic Thrombosis in Hepatocellular Carcinoma

Authors

  • Giovanni Brandi University of Bologna
  • Stefania De Lorenzo University of Bologna
  • Michela Venturi University of Bologna
  • Jody Corbelli University of Bologna
  • Giorgio Frega University of Bologna
  • Andrea Palloni University of Bologna
  • Maria Aurelia Barbera University of Bologna
  • Guido Biasco University of Bologna

Keywords:

Hepatocellular carcinoma, Portal vein thrombosis, Liver resection.

Abstract

Hepatocellular carcinoma (HCC) is the fifth commonest cancer worldwide. Vascular invasion of the portal vein is one of the most important prognostic factors for survival in HCC patients and the prognosis is generally poor. The optimal treatment for patients with HCC and portal vein tumour thrombus (PVTT) remains controversial. Although many therapeutic options have been proposed, surgical resection is the only hope of cure for such patients.

We present the case of a 74-year-old man diagnosed with a single HCC nodule with portal thrombosis in the right hepatic lobe in the setting of HCV-related liver cirrhosis. After a first approach with a loco-regional treatment not tolerated by the patient, a right hepatectomy proved the best option. One year later the patient is still free from disease.

Author Biographies

Giovanni Brandi, University of Bologna

Experimental

Stefania De Lorenzo, University of Bologna

Experimental

Michela Venturi, University of Bologna

Experimental

Jody Corbelli, University of Bologna

Experimental

Giorgio Frega, University of Bologna

Experimental

Andrea Palloni, University of Bologna

Experimental

Maria Aurelia Barbera, University of Bologna

Experimental

Guido Biasco, University of Bologna

Experimental

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Published

2014-12-31

Issue

Vol. 1 (2014)

Section

Articles

License

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