Percutaneous electrochemotherapy in the treatment of portal vein tumor thrombosis at hepatic hilum in patients with hepatocellular carcinoma in cirrhosis: A feasibility study

doi:10.3748/wjg.v23.i5.906

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Feb 7, 2017; 23(5): 906-918
Published online Feb 7, 2017. doi: 10.3748/wjg.v23.i5.906

Table 2 Hepatocellular carcinoma patterns, treatments and results in 6 patients with portal vein tumor thrombosis treated with electrochemotherapy

Patient	Previous treatments	Site of PVTT	HCC nodules/size	Results of ECT	Follow-up
1	Surgery, RFA	Right PV, distal main PV	-	Complete necrosis of Vp3-Vp4 PVTT	20 mo
1	Surgery, RFA	Right PV, distal main PV	-	Complete recanalization	20 mo
2	None	Right PV, distal main PV	1 nodule/3.5 cm	Complete necrosis of Vp3-Vp4 PVTT	Death for rupture of esophageal varices 14 mo after ECT
2	None	Right PV, distal main PV	1 nodule/3.5 cm	Complete recanalization	Death for rupture of esophageal varices 14 mo after ECT
3	None	Right PV	1 nodule/3 cm	Complete necrosis of Vp3-Vp4 PVTT	Death for Liver failure
3	None	Right PV	1 nodule/3 cm	Persistent shrinked bland thrombosis	14 mo after ECT
4	RFA	RightPV, left PV, distal main PV	2 nodules/1.5 and 2.5 cm	Complete necrosis of Vp3-Vp4 PVTT	Death 5 wk after ECT for rupture of esophageal varices
4	RFA	RightPV, left PV, distal main PV	2 nodules/1.5 and 2.5 cm	Persistent shrinked bland thrombosis	Death 5 wk after ECT for rupture of esophageal varices
5	None	Left PV	1 nodule/3.5 cm	Complete necrosis of Vp3-Vp4 PVTT	12 mo
5	None	Left PV	1 nodule/3.5 cm	Persistent shrinked bland thrombosis	12 mo
6	Surgery, RFA, TACE	Right PV	-	Complete necrosis of Vp3-Vp4 PVTT	9 mo
6	Surgery, RFA, TACE	Right PV	-	Persistent shrinked bland thrombosis	9 mo

ECT: Electrochemotherapy; PV: Portal vein; PVTT: Portal vein tumor thrombosis; HCC: Hepatocellular carcinoma; RFA: Radiofrequency ablation; TACE: Trans-arterial chemoembolization; MI: Myocardial infarction; COPD: Chronic obstructive pulmonary disease.

Citation: Tarantino L, Busto G, Nasto A, Fristachi R, Cacace L, Talamo M, Accardo C, Bortone S, Gallo P, Tarantino P, Nasto RA, Di Minno MND, Ambrosino P. Percutaneous electrochemotherapy in the treatment of portal vein tumor thrombosis at hepatic hilum in patients with hepatocellular carcinoma in cirrhosis: A feasibility study. World J Gastroenterol 2017; 23(5): 906-918
URL: https://www.wjgnet.com/1007-9327/full/v23/i5/906.htm
DOI: https://dx.doi.org/10.3748/wjg.v23.i5.906