BCLC: Barcelona Clinic Liver Cancer; RFA: radiofrequency ablation therapy;
TACE: transarterial chemoembolization; TAE: transarterial embolization.
The immediate CT scan revealed that lipiodol was concentrated in the tumor and the effect of
TACE was significant.
All patients underwent quadruple-phase MDCT (unenhanced, arterial, portal venous, delayed phases) before and after
TACE. MDCT images were obtained using a 64-row helical CT scanner) (SOMATOM Definition, Siemens Medical Solutions) with the following scanning protocol: tube voltage, 80-100 kVp; beam collimation, 14x1.2 mm; pitch, 0.6; tube current product value, 180 mAs; rotation time, 0.5 s.
TACE = transcatheter arterial chemoembolization, RFA = radiofrequency ablation, Y-90 = yttrium-90 radioembolization, and SBRT = stereotactic body radiation therapy.
Five weeks after undergoing
TACE, he was readmitted with hematochezia and hemorrhagic shock.
For liver metastasis rupture during initial treatment,
TACE and HAIC with 5FU/ CDDP were performed for volume control.
Variables AFP [greater AFP < 20 ng/ml P than or equal to] 20 ng/ml First-line chemotherapy regimens Platinum-based doublet 46 (62.2%) 156 (63.7%) regimen Taxane-based doublet 13 (17.6%) 44 (18.0%) regimen Triplet regimen 9 (12.2%) 17 (6.9%) 0.325 Single-drug regimen 6 (8.1%) 19 (7.8%) Others 0 (0.0%) 9 (3.7%) Response of first-line chemotherapy PR 28 (41.2%) 106 (56.1%) 0.024 SD + PD 40 (58.8%) 83 (43.9%) Subsequent therapies after the first-line chemo Second-line chemotherapy Yes 24 (40.0%) 97 (53.0%) 0.055 No 36 (60.0%) 86 (47.0%) Surgery treatment Yes 1 (1.4%) 8 (3.3%) 0.344 No 73 (98.6%) 237 (96.7%) Local treatment of LM (a) Yes 23 (31.1%) 60 (24.5%) 0.163 No 51 (68.9%) 185 (75.5%) (a) Including
TACE, ablation, radiotherapy, and liver resection.
AFP: Alpha-fetoprotein HCC: Hepatocellular carcinoma LT: Liver transplantation
TACE: Transarterial chemoembolization.
A 57-year-old male with a past medical history of cirrhosis and HCC secondary to chronic alcohol abuse and hepatitis C infection was undergoing serial transarterial chemoembolization (
TACE) procedures.