Conformal radiation therapy for hepatoma with portal vein thrombosis

被引:10
作者
Leung, SW
Huang, EY
Cheng, YF
Lu, SN
机构
[1] Chang Gung Mem Hosp, Chang Gung Med Coll, Dept Radiat Oncol, Kaohsiung, Taiwan
[2] Chang Gung Mem Hosp, Chang Gung Med Coll, Dept Radiol, Kaohsiung, Taiwan
[3] Chang Gung Mem Hosp, Chang Gung Med Coll, Dept Hepatobiliary, Kaohsiung, Taiwan
关键词
D O I
10.1259/bjr.73.869.10884755
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A 43-year-old male patient was diagnosed as having hepatocellular carcinoma with portal vein thrombosis and arterioportal shunts. Three-dimensional conformal radiation therapy (3DCRT) with high focal dose was given to the left portal venous area. Shrinkage of the tumour and thrombus, disappearance of the arterioportal shunts and restoration of the hepatopedal now of the portal vein was noted 3 months after treatment. The patient received further transarterial embolisation and achieved successful tumour control. No serious complications were encountered. 3DCRT is technically feasible and effective to treat a small volume of liver tissue with a high dose of radiation in this advanced disease.
引用
收藏
页码:550 / 552
页数:3
相关论文
共 8 条
[1]   Hepatocellular carcinoma with portal vein tumor thrombus: Embolization of arterioportal shunts [J].
Furuse, J ;
Iwasaki, M ;
Yoshino, M ;
Konishi, M ;
Kawano, N ;
Kinoshita, T ;
Ryu, M ;
Satake, M ;
Moriyama, N .
RADIOLOGY, 1997, 204 (03) :787-790
[2]   AN APPLICATION OF DOSE VOLUME HISTOGRAMS TO THE TREATMENT OF INTRAHEPATIC MALIGNANCIES WITH RADIATION-THERAPY [J].
LAWRENCE, TS ;
TESSER, RJ ;
TENHAKEN, RK .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1990, 19 (04) :1041-1047
[3]   HEPATIC TOXICITY RESULTING FROM CANCER-TREATMENT [J].
LAWRENCE, TS ;
ROBERTSON, JM ;
ANSCHER, MS ;
JIRTLE, RL ;
ENSMINGER, WD ;
FAJARDO, LF .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1995, 31 (05) :1237-1248
[4]   THE USE OF 3-D-DOSE VOLUME ANALYSIS TO PREDICT RADIATION HEPATITIS [J].
LAWRENCE, TS ;
TENHAKEN, RK ;
KESSLER, ML ;
ROBERTSON, JM ;
LYMAN, JT ;
LAVIGNE, ML ;
BROWN, MB ;
DUROSS, DJ ;
ANDREWS, JC ;
ENSMINGER, WD ;
LICHTER, AS .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1992, 23 (04) :781-788
[5]   Treatment of intrahepatic cancers with radiation doses based on a normal tissue complication probability model [J].
McGinn, CJ ;
Ten Haken, RK ;
Ensminger, WD ;
Walker, S ;
Wang, SB ;
Lawrence, TS .
JOURNAL OF CLINICAL ONCOLOGY, 1998, 16 (06) :2246-2252
[6]   HEPATOMA, ARTERIOPORTAL SHUNTING, AND HYPERKINETIC PORTAL-HYPERTENSION - THERAPEUTIC EMBOLIZATION [J].
MORSE, SS ;
SNIDERMAN, KW ;
GALLOWAY, S ;
RAPOPORT, S ;
ROSS, GR ;
GLICKMAN, MG .
RADIOLOGY, 1985, 155 (01) :77-82
[7]   ANGIOGRAPHIC DEMONSTRATION OF INTRAHEPATIC ARTERIO-PORTAL ANASTOMOSES IN HEPATOCELLULAR CARCINOMA [J].
OKUDA, K ;
MUSHA, H ;
YAMASAKI, T ;
JINNOUCHI, S ;
NAGASAKI, Y ;
KUBO, Y ;
SHIMOKAWA, Y ;
NAKAYAMA, T ;
KOJIRO, M ;
SAKAMOTO, K ;
NAKASHIMA, T .
RADIOLOGY, 1977, 122 (01) :53-58
[8]   Long-term results of hepatic artery fluorodeoxyuridine and conformal radiation therapy for primary hepatobiliary cancers [J].
Robertson, JM ;
Lawrence, TS ;
Andrews, JC ;
Walker, S ;
Kessler, ML ;
Ensminger, WD .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1997, 37 (02) :325-330