Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
54
pubmed:dateCreated
2003-12-30
pubmed:abstractText
We report the case of a 66-year-old man with hepatic cirrhosis and multiple hypervascular tumors in both lobes of the liver as well as tumor thrombi in the portal vein. After unresectable hepatocellular carcinoma was diagnosed, transcatheter arterial embolization was considered to be difficult, because he had major portal vein thrombosis. Conventional ultrasonically-guided local treatments, such as percutaneous ethanol injection therapy and radiofrequency ablation, were also of no value because the tumors were huge and multiple. Ultimately, he was treated with a combination of intraarterial 5-fluorouracil and intramuscular interferon-alpha. After treatment, the multiple tumors became non-enhancing on contrast computed tomography scans and showed a marked decrease in size. There were no serious adverse effects (such as myelosuppression or hepatotoxicity) during treatment or follow-up and the patient is doing well at present. In conclusion, a combination of intraarterial 5-fluorouracil with intramuscular interferon-alpha appears to be useful for the management of advanced hepatocellular carcinoma, especially in patients for whom more aggressive treatment is not acceptable.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0172-6390
pubmed:author
pubmed:issnType
Print
pubmed:volume
50
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1780-2
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:14696403-Aged, pubmed-meshheading:14696403-Angiography, pubmed-meshheading:14696403-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:14696403-Carcinoma, Hepatocellular, pubmed-meshheading:14696403-Drug Therapy, Combination, pubmed-meshheading:14696403-Fluorouracil, pubmed-meshheading:14696403-Follow-Up Studies, pubmed-meshheading:14696403-Humans, pubmed-meshheading:14696403-Infusions, Intra-Arterial, pubmed-meshheading:14696403-Injections, Intramuscular, pubmed-meshheading:14696403-Interferon-alpha, pubmed-meshheading:14696403-Liver, pubmed-meshheading:14696403-Liver Neoplasms, pubmed-meshheading:14696403-Male, pubmed-meshheading:14696403-Neoplasm Staging, pubmed-meshheading:14696403-Neoplastic Cells, Circulating, pubmed-meshheading:14696403-Portal Vein, pubmed-meshheading:14696403-Recombinant Proteins, pubmed-meshheading:14696403-Tomography, X-Ray Computed
pubmed:articleTitle
Combined intraarterial 5-fluorouracil and intramuscular interferon-alpha therapy for advanced hepatocellular carcinoma.
pubmed:affiliation
Division of Hepatology, Department of Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama 701-0192, Japan. ohmotok@med.kawasaki-m.ac.jp
pubmed:publicationType
Journal Article, Case Reports