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Huge Hepatocellular Carcinoma Exhibiting a Complete Response after Stereotactic Body Radiation Therapy

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Affiliated Author(s)
장병국김진희황재석
Alternative Author(s)
Jang, Byoung KukKim, Jin HeeHwang, Jae Seok
Journal Title
Journal of Liver Cancer
ISSN
2383-5001
Issued Date
2020
Keyword
Hepatocellular carcinomaStereotactic body radiotherapy
Abstract
To date, there are limited data and little consensus on treatment strategies for huge hepatocellular carcinoma (HCC). Surgical resection provides significantly better survival than other modalities for single large HCC regardless of tumor stage. Recently, with technological advances in radiation therapy, stereotactic body radiation therapy (SBRT) is considered an alternative treatment option for HCC. Herein, we present a case of huge HCC that was successfully managed by SBRT. Transarterial embolization, previously performed in Russia, was incomplete. It was also not suitable for resection and transarterial chemoembolization. Although the rationale for radiotherapy in huge HCC was insufficient, SBRT was performed because no other treatment options were available. Additional radiofrequency ablation was performed for small HCC in a different segment, and radiological complete response (CR) was achieved. The CR was maintained over 4 years. Therefore, SBRT may be an alternative treatment option for large HCC that is not suitable for curative treatment.
Department
Dept. of Internal Medicine (내과학)
Dept. of Radiation Oncology (방사선종양학)
Publisher
School of Medicine (의과대학)
Citation
Kyung In Shin et al. (2020). Huge Hepatocellular Carcinoma Exhibiting a Complete Response after Stereotactic Body Radiation Therapy. Journal of Liver Cancer, 20(2), 167–172. doi: 10.17998/jlc.20.2.167
Type
Article
ISSN
2383-5001
DOI
10.17998/jlc.20.2.167
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42845
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. School of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학)
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