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Hepatocellular carcinoma diagnosed radiologically, treated by transcatheter arterial embolization and limited-field radiotherapy

¹ Department of Radiation Therapy, National Cancer Center Hospital, Tokyo, Japan ² Department of Outpatient Clinic, National Cancer Center Hospital, Tokyo, Japan ³ Department of Diagnostic Radiology, National Cancer Center Hospital, Tokyo, Japan ⁴ Department of Ibaraki Prefectural Central Hospital, Tomobe, Ibaraki, Japan ⁵ Department of Centre Hospitalo-Universitaire H Mondor, Creteil, France

Even though the resection rate for hepatocellular carcinoma (HCC) has risen recently, many patients cannot be treated surgically because of the advanced stage of the tumour and/or coexisting cirrhosis. An alternative therapeutic approach for some of these patients is transcatheter arterial embolization (TAE) which has become very common in Japan. However, it is not a curative measure, and an additional therapy is required to eradicate the residual disease. In this communication, we report a case in which a patient with HCC has been successfully treated by TAE followed by limited-field radiotherapy. The results suggest that this is a very promising therapeutic approach for HCC and that the potential of limited-field radiotherapy for HCC with or without TAE also needs to be explored.

^* Visiting researcher.

Received for publication August 25, 1993. Revision received November 8, 1993. Accepted for publication November 23, 1993.