2014, Number 3
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Rev Mex Traspl 2014; 3 (3)
Transarterial embolization for Hepatocarcinoma as down-staging therapy in performing transplantation
Gastélum-Fernández V, Rodríguez-Montalvo C, Flores-Villalba E, Tijerina-Gómez L, Bosques-Padilla F, Carrillo M, Castilleja F
Language: Spanish
References: 15
Page: 102-106
PDF size: 314.68 Kb.
ABSTRACT
Liver transplantation is one of the definitive treatments for hepatocellular carcinoma (HCC). The criteria of Milan and UCSF are best used for eligibility of a candidate for transplant with HCC. Currently, patients who exceed the established criteria, the bridge therapy is proposed by using adjuvant therapies such as chemoembolization and transarterial tumor embolization to reduce the size of the lesion, known as down staging. We describe a patient with a single 5.8 cm tumor who received a soft embolization as down-staging therapy, and after two months received a liver transplant. After 18 months, the patient is alive without recurrence of the tumor. The usefulness of transarterial embolization as down staging therapy in a patient with hepatocellular carcinoma is demonstrated.
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