4.6 Article

Complete pathological regression of hepatocellular carcinoma with portal vein thrombosis treated with sorafenib

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WORLD JOURNAL OF SURGICAL ONCOLOGY
卷 11, 期 -, 页码 -

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BMC
DOI: 10.1186/1477-7819-11-171

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Hepatocellular carcinoma; Sorafenib; Liver resection

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Sorafenib is a molecular-targeted therapy used in palliative treatment of advanced hepatocellular carcinoma (HCC) in Child-Pugh A patients. We describe the case of a patient who presented with a large HCC in the left liver associated with portal vein thrombosis (PVT). After 9 months of sorafenib treatment, reassessment showed that the tumors had decreased in size with recanalization of the portal vein. A lateral left hepatectomy was performed and pathology showed complete necrosis of the tumor. Sorafenib can downstage HCC in patients with cirrhosis allowing further surgical resection.

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