A Case of Advanced Hepatocellular Carcinoma Invading the Inferior Vena Cava (IVC), which was Successfully Treated with IVC Stent

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  • 下大静脈（IVC）腫瘍塞栓をきたした進行肝細胞癌（HCC）に対し，IVCステント留置術にて治療した1例

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Advanced malignant liver tumors often invade the intrahepatic inferior vena cava (IVC). This can result in its obstruction, possibly causing IVC syndrome. Symptoms of IVC include leg edema and ascites, which in turn can result in an impaired quality of life. Accordingly, palliative treatment is needed to improve the condition of such patients. However, these symptoms often respond poorly to diuretics, leading to rapid deterioration of edema, which may become intractable. Therefore, this situation is considered an “Oncologic Emergency”.<BR>Stenting and radiation therapy have been reported as treatment for advanced malignant liver tumors with IVC syndrome.<BR>Recently, we encountered a case of hepatocellular carcinoma with IVC invasion and IVC syndrome, which was successfully treated with stenting. Here, we present and discuss this case and review the relevant literature.

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