The Official Journal of the Japanese Society of Interventional Radiology
Online ISSN : 2185-6451
Print ISSN : 1340-4520
ISSN-L : 1340-4520
Case Reports
A Case of Advanced Hepatocellular Carcinoma Invading the Inferior Vena Cava (IVC), which was Successfully Treated with IVC Stent
Toshihide TokudaIsao IkamiShuichi OnoHiromasa FujitaAkihisa KakutaShinya KakehataFumiyasu TsushimaKoichi SibutaniHiroyuki MiuraYoshihiro Takai
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2013 Volume 28 Issue 4 Pages 451-454

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Abstract
Advanced malignant liver tumors often invade the intrahepatic inferior vena cava (IVC). This can result in its obstruction, possibly causing IVC syndrome. Symptoms of IVC include leg edema and ascites, which in turn can result in an impaired quality of life. Accordingly, palliative treatment is needed to improve the condition of such patients. However, these symptoms often respond poorly to diuretics, leading to rapid deterioration of edema, which may become intractable. Therefore, this situation is considered an “Oncologic Emergency”.
Stenting and radiation therapy have been reported as treatment for advanced malignant liver tumors with IVC syndrome.
Recently, we encountered a case of hepatocellular carcinoma with IVC invasion and IVC syndrome, which was successfully treated with stenting. Here, we present and discuss this case and review the relevant literature.
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