Krastev Z, Jelev D, Antonov K, Petkova T, Atanasova E, Zheleva N, Tomov B, Boyanova Y, Mateva L. Ombitasvir, paritaprevir, ritonavir, dasabuvir and ribavirin in cirrhosis after complete destruction of hepatocellular carcinoma. World J Gastroenterol 2016; 22(8): 2630-2635 [PMID: 26937151 DOI: 10.3748/wjg.v22.i8.2630]
Corresponding Author of This Article
Zahariy Krastev, MD, PhD, DSc (Med), Professor of Medicine, Clinic of Gastroenterology, University Hospital “St. Ivan Rilski”, 15 Acad. Ivan Geshov Blvd, 1431 Sofia, Bulgaria. zahkrastev@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Feb 28, 2016; 22(8): 2630-2635 Published online Feb 28, 2016. doi: 10.3748/wjg.v22.i8.2630
Table 1 Laboratory findings in case 1
BL
Week 1
Week 2
Week 4
Week 8
Week 12 (ETR)
Week 12 post therapy (SVR-12)
Week 24 post therapy (SVR-24)
Hgb (g/L)
106
107
97
85
79
89
105
111
WBC (G/L)
3.2
2.4
3.7
5.8
5.3
3.5
4.5
4.7
PLT (G/L)
80
69
111
123
136
94
81
91
TBil/DBil (μmol/L)
16/10
98/47
66/34
41/25
42/9
13/7
10/5
12/5
ALT (U/L)
49
28
20
23
25
15
11
15
Alb (g/L)
39
39
42
41
36
38
44
44
PT (s)
14.4
14.2
14.9
15.8
14.5
15.1
14.2
15.3
HCV RNA (IU/mL)
496183
UND
UND
UND
UND
UND
FIBROMAXTM
A2/F4
A0/F4
TBA (μmol/L)
27
39
33.5
Table 2 Dynamic of alpha fetoprotein levels in case 1
Aug 2013
Nov 2013
Mar 2014
Jun 2014
Aug 2014
Oct 2014
Jan 2015
Apr 2015
Jul 2015
Oct 2015
AFP (ULN < 5.5 IU/mL)
15
14
19
13
13
20
77
4
4.05
4.36
Table 3 Alterations of alpha fetoprotein levels in case 2
Apr 2012
July 2012
Aug 2012
Sep 2012
Feb 2012
Sep 2013
Apr 2014
Jan 2015
Apr 2015
Jun 2015
Sep 2015
AFP (ULN < 5.5 IU/mL)
86
120
153
167
16
3
2
3
2
1.5
1.2
Table 4 Laboratory findings during treatment (case 2)
Baseline
Week 1
Week 2
Week 4
Week 6
Week 12 (ETR)
Week 12 post therapy (SVR-12)
Week 24 post therapy (SVR-24)
Hgb (g/L)
132
130
115
99
104
103
131
125
WBC (G/L)
5.7
6.4
8.8
5.1
4.5
6.2
6.7
8.1
PLT (G/L)
183
166
304
320
278
308
168
182
Tbil/Dbil (μmol/L)
7/3.6
19/13
24/13
16/10
9/4
34/23
5.2/2.3
6.4/2.6
ALT (U/L)
99
61
53
265
510
45
14
16
PT (s)
13.5
13.7
13.1
15.6
16.3
13.4
14.7
14.4
Alb (g/L)
42
40
49
45
42
43
47
47
HCV RNA (IU/mL)
1799000
UND
UND
UND
UND
UND
FIBROMAXTM
A3/F4
A3/F4
TBA (μmol/L)
4.5
19
5.2
Citation: Krastev Z, Jelev D, Antonov K, Petkova T, Atanasova E, Zheleva N, Tomov B, Boyanova Y, Mateva L. Ombitasvir, paritaprevir, ritonavir, dasabuvir and ribavirin in cirrhosis after complete destruction of hepatocellular carcinoma. World J Gastroenterol 2016; 22(8): 2630-2635