脾动脉主干栓塞序贯肝脾微波消融治疗Ⅱb期肝癌并门静脉高压症1例

Treatment of stageⅡb hepatocellular carcinoma with portal hypertension by sequential therapy of main splenic artery embolization and liver and spleen microwave ablation:A case report

背景原发性肝细胞癌(hepatocellular carcinoma,HCC)患者如果合并门静脉高压症导致的消化道出血,临床治疗非常棘手,患者一般难以获得满意治疗效果.病例简介本例患者因肝癌及消化道出血入院,我们应用脾动脉主干栓塞序贯肝癌微波消融及脾脏微波消融治疗门脉高压及肝癌,取得了理想的效果.结论脾动脉主干栓塞序贯肝脾微波消融可能是治疗Ⅱb期肝癌并门静脉高压症的可行方案,值得进一步的尝试及探索.

BACKGROUND Treatment of hepatocellular carcinoma complicated with gastrointestinal bleeding due to portal hypertension is difficult clinically.CASE SUMMARY We report a patient with China liver cancer staging(CNLC)stageⅡb hepatocellular carcinoma(HCC)complicated with portal hypertension and gastrointestinal hemorrhage who was treated by main splenic artery embolization followed by microwave ablation of liver cancer and the spleen.The reexamination results suggested that the therapeutic effect was satisfactory.CONCLUSION Main splenic artery embolization followed by microwave ablation of liver cancer and the spleen may be a viable option for the treatment of stageⅡb liver cancer with portal hypertension.