Open Access

Multimodal treatment involving molecular targeted agents and on‑demand transcatheter arterial chemoembolization for advanced hepatocellular carcinoma: A case report and review of the literature

  • Authors:
    • Kyoko Oura
    • Kei Takuma
    • Mai Nakahara
    • Tomoko Tadokoro
    • Koji Fujita
    • Shima Mimura
    • Joji Tani
    • Asahiro Morishita
    • Hideki Kobara
    • Tsutomu Masaki
  • View Affiliations

  • Published online on: June 7, 2021     https://doi.org/10.3892/mco.2021.2316
  • Article Number: 154
  • Copyright: © Oura et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Formulating sequential therapeutic strategies based on the pathological conditions of patients and by using molecular targeted agents (MTAs) and transcatheter arterial chemoembolization (TACE) is crucial for the treatment of unresectable advanced hepatocellular carcinoma (HCC). The current report presents the case of a patient with HCC involving a large intrahepatic primary tumor and lung metastases, and discusses treatment strategies for advanced HCC based on the current literature. Sequential therapy with MTAs was effective after TACE. Lenvatinib was effective for treating the metastases in the lungs and spleen. Only the progressing intrahepatic tumor was additionally treated with TACE. The patient has been alive for 3 years and continued lenvatinib treatment without HCC progression or decline in liver function. In conclusion, although multiple MTAs introduced into the clinic have been gradually replacing TACE, on‑demand TACE in the multidisciplinary treatment of advanced HCC may be effective for intrahepatic hypervascular tumors resistant to MTAs, including lenvatinib. It may be possible to re‑initiate lenvatinib treatment with good efficacy against distant metastatic lesions, thereby contributing to long‑term survival.
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August-2021
Volume 15 Issue 2

Print ISSN: 2049-9450
Online ISSN:2049-9469

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Spandidos Publications style
Oura K, Takuma K, Nakahara M, Tadokoro T, Fujita K, Mimura S, Tani J, Morishita A, Kobara H, Masaki T, Masaki T, et al: Multimodal treatment involving molecular targeted agents and on‑demand transcatheter arterial chemoembolization for advanced hepatocellular carcinoma: A case report and review of the literature. Mol Clin Oncol 15: 154, 2021
APA
Oura, K., Takuma, K., Nakahara, M., Tadokoro, T., Fujita, K., Mimura, S. ... Masaki, T. (2021). Multimodal treatment involving molecular targeted agents and on‑demand transcatheter arterial chemoembolization for advanced hepatocellular carcinoma: A case report and review of the literature. Molecular and Clinical Oncology, 15, 154. https://doi.org/10.3892/mco.2021.2316
MLA
Oura, K., Takuma, K., Nakahara, M., Tadokoro, T., Fujita, K., Mimura, S., Tani, J., Morishita, A., Kobara, H., Masaki, T."Multimodal treatment involving molecular targeted agents and on‑demand transcatheter arterial chemoembolization for advanced hepatocellular carcinoma: A case report and review of the literature". Molecular and Clinical Oncology 15.2 (2021): 154.
Chicago
Oura, K., Takuma, K., Nakahara, M., Tadokoro, T., Fujita, K., Mimura, S., Tani, J., Morishita, A., Kobara, H., Masaki, T."Multimodal treatment involving molecular targeted agents and on‑demand transcatheter arterial chemoembolization for advanced hepatocellular carcinoma: A case report and review of the literature". Molecular and Clinical Oncology 15, no. 2 (2021): 154. https://doi.org/10.3892/mco.2021.2316