HCC with tumor thrombus entering the right atrium and inferior vena cava treated by percutaneous ablation

BMC Surgery

Case Report

Jiasheng Zheng¹  Wenfeng Gao¹  Wei Li¹  Yang Wang¹ 

[1] Center of Interventional Oncology and Liver Diseases, Beijing You’an Hospital, Capital Medical University, 8 Xitoutiao, Youanmenwai St., Fengtai Dist., 100069, Beijing, People’s Republic of China;

关键词: Hepatocellular carcinoma;    Percutaneous;    Ablation;    Tumor thrombus;    Right atrium;    Case report;   

DOI  :  10.1186/s12893-017-0217-y

 received in 2016-11-13, accepted in 2017-02-22,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundIn the advanced stages of hepatocellular carcinoma (HCC), a tumor thrombus (TT) can form in the portal or hepatic vein. The management of patients with advanced HCC and a TT extending into the right atrium (RA) and inferior vena cava (IVC) is extremely difficult and risky.Case presentationWe report the case of a patient with HCC and a large TT (85 × 45 mm) extending into the RA through the hepatic vein and IVC, which is very rare. We performed percutaneous microwave ablation of the TT and the two intrahepatic tumors (maximum diameter, 57 mm). The treatment shrank the tumors, and the patient is in good condition and has survived for 16 months thus far. A literature review was also performed. This is the first such case to be treated with percutaneous microwave ablation.ConclusionThe outcomes in this case suggest that percutaneous ablation is useful for the treatment of TT extending into the RA and IVC in patients with HCC.

【 授权许可】

CC BY   
© The Author(s). 2017