Hepatocellular cancer portal vein thrombosis

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  • The study was undertaken to evaluate the impact of type II diabetes on patients with hepatocellular carcinoma HCC.
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Case report: We report a year-old woman with C gastric cancer follow up - related cirrhosis, hepatocellular carcinoma and central severe arterioportal shunt, presenting with upper digestive tract hemorrhage and refractory ascites, treated by embolization of the shunt and trans catheter arterial embolization of the tumor.

Results: After treatment, both ascites and esophageal varices improved, with good general status for three months. Afterwards, a massive esophageal bleeding uncontrolled by emergent endoscopic hemostatic techniques caused rapid deterioration and death.

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Conclusions: Hepatocellular carcinoma with central severe arterioportal shunt is a challenging clinical situation, whose prognosis is influenced mainly by portal hypertension. Embolization of the shunt is the first option to reduce the pressure in the portal system and to ensure the endovascular treatment of the tumor.

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J Hepatol ; Ngan H, Peh WC. Arteriovenous shunting in hepatocellular carcinoma: its prevalence and clinical significance.

HCC with portal vein thrombosis ; Possible treatment options

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Comparison of long-term effects between intra-arterially delivered ethanol and Gelfoam for the treatment of severe arterioportal shunt in patients with hepatocellular carcinoma. World J Gastroenterol.


Trans catheter arterial embolization for advanced tumor thrombus with marked arterioportal or arteriovenous shunt complicating hepatocellular carcinoma. Radiat Med.

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Embolization of hepatic arteriovenous shunt with absolute ethanol in a patient with hepatocellular carcinoma. Cardiovasc Intervent Radiol ; 34 Suppl 2 : S Hepatocellular cancer portal vein thrombosis outcomes of symptomatic arterioportal fistulas after transcatheter arterial embolization.

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World J Radiol ; 5: Transarterial embolization with cyanoacrylate for severe arterioportal shunt complicated by hepatocellular carcinoma. Cardiovasc Intervent Radiol.

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Arterioportal shunts in patients with hepatocellular carcinoma treated using ethanol-soaked gelatin sponge: therapeutic effects and prognostic factors. J Vasc Interv Radiol. Surgical treatment of hepatocellular carcinoma with severe intra tumoral arterioportal shunt.