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Comprehensive Treatment of Advanced Liver Cancer Complicated with Upper Gastrointestinal Bleeding in Multidisciplinary Team Model: A Case Report

Received: 20 April 2017     Accepted: 4 May 2017     Published: 31 May 2017
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Abstract

A 44-year-old male was presented to emergency department because of repeated abdominal distension for 1 month, melena for 1 day and hematemesis for 4 hours. After examination, he was diagnosed with esophageal varices (III degree) and hemorrhage, primary massive hepatocellular carcinoma (cT3aN1Mx) and hepatitis B cirrhosis. In collaboration with the MDT team, this patient received a comprehensive treatment for up to 19 months which included surgical devascularization and cryoablation for liver cancer, TACE, SBRT, molecular targeted therapy, Chinese medicine treatment, antiviral therapy and so on. The latest review showed that liver cancer had distant metastasis, but the quality of life was still good. It seems that the comprehensive treatment of MDT is helpful for patients with HCC to improve the quality of life.

Published in Journal of Surgery (Volume 5, Issue 3)
DOI 10.11648/j.js.20170503.13
Page(s) 47-52
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Hepatocellular Carcinoma, Comprehensive Treatment, Multi-disciplinary Team

References
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[2] Shen Q, Xue H, Jiang Q. Surgical treatment of primary liver cancer complicated with portal hypertension [J]. Journal of Practical Diagnosis & Therapy, 2007.
[3] Ding Z H, Mu Y, Zhang L, et al. Radiofrequency ablation combined with devascularization in treati ng primary liver cancer with portal hypertension: An analysis of 69 cases, 2013, 33 (11): 967-969.
[4] Xu K C, Niu L Z. Cryosurgery for hepatocellular carcinoma [J]. World Chinese Journal of Digestology, 2008, 16 (3): 229-235.
[5] Wang Z L, Zhang Y W. Progress on cellular immune function after the cryosurgical treatment of various cancers [J]. Chinese Journal of Interventional Imaging & Therapy, 2012, 9 (7): 556-559.
[6] Gao J L. [Prospective randomized controlled study on advanced primary hepatic cancer treated by ganfule prescription] [J]. China Journal of Chinese Materia Medica, 2014, 39 (12): 2367.
[7] Wu H, Hospital A N, University N M. Huaier Granules Combined with Chemoembolization in Treating Primary Liver Cancer in 96 Cases [J]. China Pharmaceuticals, 2014.
[8] Jang J W. Hepatitis B virus reactivation in patients with hepatocellular carcinoma undergoing anti-cancer therapy [J]. World Journal of Gastroenterology Wjg, 2014, 20 (24): 7675.
[9] Ishikawa T. Anti-viral therapy to reduce recurrence and improve survival in hepatitis B virus-related hepatocellular carcinoma [J]. World Journal of Gastroenterology, 2013, 19 (47): 8861-8866.
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[11] Omata M, Lesmana L A, Tateishi R, et al. Asian Pacific Association for the Study of the Liver consensus recommendations on hepatocellular carcinoma [J]. Hepatology International, 2010, 4 (2): 439.
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[14] Yopp A C, Mansour J C, Beg M S. Establishment of a Multidisciplinary Hepatocellular Carcinoma Clinic is Associated with Improved Clinical Outcome [J]. Annals of Surgical Oncology, 2014, 21 (4): 1287-95.
Cite This Article
  • APA Style

    Liuming Lin, Mingrong Cao, Qiang Li, Zhilong Liu. (2017). Comprehensive Treatment of Advanced Liver Cancer Complicated with Upper Gastrointestinal Bleeding in Multidisciplinary Team Model: A Case Report. Journal of Surgery, 5(3), 47-52. https://doi.org/10.11648/j.js.20170503.13

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    ACS Style

    Liuming Lin; Mingrong Cao; Qiang Li; Zhilong Liu. Comprehensive Treatment of Advanced Liver Cancer Complicated with Upper Gastrointestinal Bleeding in Multidisciplinary Team Model: A Case Report. J. Surg. 2017, 5(3), 47-52. doi: 10.11648/j.js.20170503.13

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    AMA Style

    Liuming Lin, Mingrong Cao, Qiang Li, Zhilong Liu. Comprehensive Treatment of Advanced Liver Cancer Complicated with Upper Gastrointestinal Bleeding in Multidisciplinary Team Model: A Case Report. J Surg. 2017;5(3):47-52. doi: 10.11648/j.js.20170503.13

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  • @article{10.11648/j.js.20170503.13,
      author = {Liuming Lin and Mingrong Cao and Qiang Li and Zhilong Liu},
      title = {Comprehensive Treatment of Advanced Liver Cancer Complicated with Upper Gastrointestinal Bleeding in Multidisciplinary Team Model: A Case Report},
      journal = {Journal of Surgery},
      volume = {5},
      number = {3},
      pages = {47-52},
      doi = {10.11648/j.js.20170503.13},
      url = {https://doi.org/10.11648/j.js.20170503.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170503.13},
      abstract = {A 44-year-old male was presented to emergency department because of repeated abdominal distension for 1 month, melena for 1 day and hematemesis for 4 hours. After examination, he was diagnosed with esophageal varices (III degree) and hemorrhage, primary massive hepatocellular carcinoma (cT3aN1Mx) and hepatitis B cirrhosis. In collaboration with the MDT team, this patient received a comprehensive treatment for up to 19 months which included surgical devascularization and cryoablation for liver cancer, TACE, SBRT, molecular targeted therapy, Chinese medicine treatment, antiviral therapy and so on. The latest review showed that liver cancer had distant metastasis, but the quality of life was still good. It seems that the comprehensive treatment of MDT is helpful for patients with HCC to improve the quality of life.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Comprehensive Treatment of Advanced Liver Cancer Complicated with Upper Gastrointestinal Bleeding in Multidisciplinary Team Model: A Case Report
    AU  - Liuming Lin
    AU  - Mingrong Cao
    AU  - Qiang Li
    AU  - Zhilong Liu
    Y1  - 2017/05/31
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    N1  - https://doi.org/10.11648/j.js.20170503.13
    DO  - 10.11648/j.js.20170503.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 47
    EP  - 52
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20170503.13
    AB  - A 44-year-old male was presented to emergency department because of repeated abdominal distension for 1 month, melena for 1 day and hematemesis for 4 hours. After examination, he was diagnosed with esophageal varices (III degree) and hemorrhage, primary massive hepatocellular carcinoma (cT3aN1Mx) and hepatitis B cirrhosis. In collaboration with the MDT team, this patient received a comprehensive treatment for up to 19 months which included surgical devascularization and cryoablation for liver cancer, TACE, SBRT, molecular targeted therapy, Chinese medicine treatment, antiviral therapy and so on. The latest review showed that liver cancer had distant metastasis, but the quality of life was still good. It seems that the comprehensive treatment of MDT is helpful for patients with HCC to improve the quality of life.
    VL  - 5
    IS  - 3
    ER  - 

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Author Information
  • Department of Hepatobiliary Surgery, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Hepatobiliary Surgery, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Hepatobiliary Surgery, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Hepatobiliary Surgery, the First Affiliated Hospital of Jinan University, Guangzhou, China

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