Hepatocellular carcinoma tumor thrombus entering the right atrium treated with combining percutaneous and intravenous high-dose-rate brachytherapy: a case report

Hepatocellular carcinoma tumor thrombus entering the right atrium treated with combining percutaneous and intravenous high-dose-rate brachytherapy: a case report

Abstract The presented report describes a case of a Hepatocellular carcinoma (HCC) tumor thrombus (TT) infiltrating the inferior vena cava (IVC) and the right atrium (RA) in a 66-year old male patient who initially presented with TT related symptoms. CT-guided high-dose-rate brachytherapy (HDRBT) wa...

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Bibliographic Details
Main Authors: F. N. Fleckenstein, M. Jonczyk, E. Can, W. M. Lüdemann, L. Savic, T. Maleitzke, F. Krenzien, B. Gebauer
Format: Article
Language:English
Published: SpringerOpen 2021-10-01
Series:CVIR Endovascular
Subjects:
Advanced HCC
BCLC
locoregional therapy
transvascular treatment
brachytherapy
atrial tumor invasion
Online Access:https://doi.org/10.1186/s42155-021-00259-x
Description
Summary:Abstract The presented report describes a case of a Hepatocellular carcinoma (HCC) tumor thrombus (TT) infiltrating the inferior vena cava (IVC) and the right atrium (RA) in a 66-year old male patient who initially presented with TT related symptoms. CT-guided high-dose-rate brachytherapy (HDRBT) was performed for both, the intraparenchymal primary and the TT. A marked improvement of the tumor-related symptoms and shrinkage of the tumor mass were achieved six months after treatment initiation. The combination of intravascular and percutaneous HDRBT demonstrating a promising approach to palliate tumor-related symptoms in advanced HCC with macrovascular invasion.
ISSN:2520-8934

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