A Successfully Resected Case of Hepatocellular Carcinoma with Tumor Thrombus Extending into the Right Atrium and Intrahepatic Metastasis in Aposit Lobe

• Published in: The Japanese Journal of Gastroenterological Surgery Vol. 30; no. 7; pp. 1776 - 1779
• Main Authors: Yamamoto, Masakazu, Takenami, Kazuyuki, Maruyama, Chifumi, Otsubo, Takehito, Tsugita, Masashi, Takasaki, Ken, Katsuragawa, Hideo
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society of Gastroenterological Surgery 1997
• Subjects: hepatocellular carcinoma; intraarterial neo-adjuvant chemotherapy; intraatrial tumor thrombus
• ISSN: 0386-9768; 1348-9372
• DOI: 10.5833/jjgs.30.1776

In a 62-year-old man with known abdominal distension and lower extrernity edema, abdominal computed tomographic scan confirmed the dianosis of hepatocellularcarcinoma in the right lobe with tumor thrombus extending into the right atrium and intrahepatic metastasis to the left lobe. We administered chemotherapy, consisting of CDDP 100mg by means of hepatic arterial infusion. After chemotherapy, the tumor thrombus in the right atrium receded such that the distal portion was no longer in the right atrium, but rather in the inferior vena cava. The intrahepatic metastasis disappeared. Right hepatectomy extirpatlon ot the inferior vena caval tumor thrombus was performed. Simultaneously, we identified cecal cancer necessitating ileocecal resection. The patient died of dissemination due to recurrence of the cecal cancer, without evidence of hepatocellularcarcinoma recurrence, 19 months after the operation.