Maeda Sakae, Eguchi Hidetoshi, Wada Hiroshi, Kobayashi Shogo, Marubashi Shigeru, Tanemura Masahiro, Umeshita Koji, Doki Yuichirou, Mori Masaki, Nagano Hiroaki
Dept. of Gastroenterological Surgery, Graduated School of Medicine, Osaka University.
Gan To Kagaku Ryoho. 2011 Nov;38(12):2036-8.
Treatments for hepatocellular carcinoma (HCC) include surgical resection, transcatheter arteral chemoembolization (TACE), percutaneous local therapy and systemic chemotherapy. However, it is difficult to perform a curative treatment for patients with far advanced multiple hepatocellular carcinomas. Here we report a case of successful surgical resection after repeated TACE for far advanced multiple hepatocellular carcinomas in both lobes associated with Vp₂ portal vein tumor thrombus. A 54-year-old male who had multiple HCC lesions in lateral, median and right lobes with portal vein tumor thrombus was admitted to our hospital. Three attempts of TACE resulted in a successful control of the tumors in the right lobe. Left hepatic lobectomy was therefore performed, and a relapse-free survival was obtained for over 5 years after surgery.
肝细胞癌（HCC）的治疗方法包括手术切除、经动脉化疗栓塞术（TACEE）、经皮局部治疗和全身化疗。然而，对于晚期多发性肝细胞癌患者，很难进行根治性治疗。在此，我们报告一例在反复进行经动脉化疗栓塞术（TACE）后成功进行手术切除的病例，该患者为晚期双侧叶多发性肝细胞癌，伴有Vp₂门静脉癌栓。一名54岁男性因肝左外叶、肝中叶和右叶有多个肝癌病灶并伴有门静脉癌栓入住我院。三次经动脉化疗栓塞术（TACE）成功控制了右叶肿瘤。因此，实施了左肝叶切除术，术后无复发生存期超过5年。
