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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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
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spelling doaj-cc24ecb91cfb4b9daba75c7b15ac63d02021-10-10T11:53:45ZengSpringerOpenCVIR Endovascular2520-89342021-10-01411510.1186/s42155-021-00259-xHepatocellular carcinoma tumor thrombus entering the right atrium treated with combining percutaneous and intravenous high-dose-rate brachytherapy: a case reportF. N. Fleckenstein0M. Jonczyk1E. Can2W. M. Lüdemann3L. Savic4T. Maleitzke5F. Krenzien6B. Gebauer7Department of Diagnostic and Interventional Radiology, Charité - Universitätsmedizin BerlinDepartment of Diagnostic and Interventional Radiology, Charité - Universitätsmedizin BerlinDepartment of Diagnostic and Interventional Radiology, Charité - Universitätsmedizin BerlinDepartment of Diagnostic and Interventional Radiology, Charité - Universitätsmedizin BerlinDepartment of Diagnostic and Interventional Radiology, Charité - Universitätsmedizin BerlinBerlin Institute of Health (BIH)Berlin Institute of Health (BIH)Department of Diagnostic and Interventional Radiology, Charité - Universitätsmedizin BerlinAbstract 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.https://doi.org/10.1186/s42155-021-00259-xAdvanced HCCBCLClocoregional therapytransvascular treatmentbrachytherapyatrial tumor invasion
collection DOAJ
language English
format Article
sources DOAJ
author F. N. Fleckenstein
M. Jonczyk
E. Can
W. M. Lüdemann
L. Savic
T. Maleitzke
F. Krenzien
B. Gebauer
spellingShingle F. N. Fleckenstein
M. Jonczyk
E. Can
W. M. Lüdemann
L. Savic
T. Maleitzke
F. Krenzien
B. Gebauer
Hepatocellular carcinoma tumor thrombus entering the right atrium treated with combining percutaneous and intravenous high-dose-rate brachytherapy: a case report
CVIR Endovascular
Advanced HCC
BCLC
locoregional therapy
transvascular treatment
brachytherapy
atrial tumor invasion
author_facet F. N. Fleckenstein
M. Jonczyk
E. Can
W. M. Lüdemann
L. Savic
T. Maleitzke
F. Krenzien
B. Gebauer
author_sort F. N. Fleckenstein
title Hepatocellular carcinoma tumor thrombus entering the right atrium treated with combining percutaneous and intravenous high-dose-rate brachytherapy: a case report
title_short Hepatocellular carcinoma tumor thrombus entering the right atrium treated with combining percutaneous and intravenous high-dose-rate brachytherapy: a case report
title_full Hepatocellular carcinoma tumor thrombus entering the right atrium treated with combining percutaneous and intravenous high-dose-rate brachytherapy: a case report
title_fullStr Hepatocellular carcinoma tumor thrombus entering the right atrium treated with combining percutaneous and intravenous high-dose-rate brachytherapy: a case report
title_full_unstemmed Hepatocellular carcinoma tumor thrombus entering the right atrium treated with combining percutaneous and intravenous high-dose-rate brachytherapy: a case report
title_sort hepatocellular carcinoma tumor thrombus entering the right atrium treated with combining percutaneous and intravenous high-dose-rate brachytherapy: a case report
publisher SpringerOpen
series CVIR Endovascular
issn 2520-8934
publishDate 2021-10-01
description 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.
topic Advanced HCC
BCLC
locoregional therapy
transvascular treatment
brachytherapy
atrial tumor invasion
url https://doi.org/10.1186/s42155-021-00259-x
work_keys_str_mv AT fnfleckenstein hepatocellularcarcinomatumorthrombusenteringtherightatriumtreatedwithcombiningpercutaneousandintravenoushighdoseratebrachytherapyacasereport
AT mjonczyk hepatocellularcarcinomatumorthrombusenteringtherightatriumtreatedwithcombiningpercutaneousandintravenoushighdoseratebrachytherapyacasereport
AT ecan hepatocellularcarcinomatumorthrombusenteringtherightatriumtreatedwithcombiningpercutaneousandintravenoushighdoseratebrachytherapyacasereport
AT wmludemann hepatocellularcarcinomatumorthrombusenteringtherightatriumtreatedwithcombiningpercutaneousandintravenoushighdoseratebrachytherapyacasereport
AT lsavic hepatocellularcarcinomatumorthrombusenteringtherightatriumtreatedwithcombiningpercutaneousandintravenoushighdoseratebrachytherapyacasereport
AT tmaleitzke hepatocellularcarcinomatumorthrombusenteringtherightatriumtreatedwithcombiningpercutaneousandintravenoushighdoseratebrachytherapyacasereport
AT fkrenzien hepatocellularcarcinomatumorthrombusenteringtherightatriumtreatedwithcombiningpercutaneousandintravenoushighdoseratebrachytherapyacasereport
AT bgebauer hepatocellularcarcinomatumorthrombusenteringtherightatriumtreatedwithcombiningpercutaneousandintravenoushighdoseratebrachytherapyacasereport
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