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THE KOREAN LIVER CANCER ASSOCIATION
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- Case Report A Case of Successful Living Donor Liver Transplantation after Downstaging of Hepatocellular Carcinoma with the Beyond Milan Criteria by Radioembolization, Hepatic Arterial Infusion Chemotherapy, and Stereotactic Body Radiation Therapy
- Yeong Jin Kim1, Yeon Seung Chung2, Beom Kyung Kim1,3, Jin Sil Sung3,4, Do Young Kim1,3
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Journal of Liver Cancer 2017;17(2):182-185
DOI: https://doi.org/10.17998/jlc.17.2.182
Published online: September 30, 2017
1Departments of Internal Medicine,Yonsei University College of Medicine, Seoul, Korea
2Departments of Pathology,Yonsei University College of Medicine, Seoul, Korea
3Yonsei Liver Center, Severance Hospital
4Department of Radiation Oncology, Yonsei University College of Medicine, Seoul, Korea
2Departments of Pathology,Yonsei University College of Medicine, Seoul, Korea
3Yonsei Liver Center, Severance Hospital
4Department of Radiation Oncology, Yonsei University College of Medicine, Seoul, Korea
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Abstract
Liver transplantation for patients with hepatocellular carcinoma (HCC) within the Milan criteria
generally yields a 4-year overall survival rate of 75% and 4-year recurrence free survival rate of 83%.
But, many HCC patients present with the disease beyond the Milan criteria. On the other hands, the
overall survival of patients with advanced HCC with portal vein invasion is very poor. We report a
case
of successful living donor liver transplantation for advanced HCC with portal vein invasion by
down-staging through radioembolization, hepatic arterial infusion chemotherapy, and stereotactic
body radiation therapy.
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