Back to Annual Meeting Program

A patient affected by HCV-related cirrhosis and multiple HCC in the right hepatic lobe with caval vein thrombosis is described. Considered the good response to treatment with TACE and sorafenib, the patient underwent to right hepatectomy and caval thrombectomy with anterior approach and total vascular exclusion. The specimen revealed complete necrosis of hepatic nodules and caval thrombus. After one year, recurrence appeared near the surgical margin, successfully treated with RFA. Six months later, CT scan revealed three HCC nodules in the left lobe. A TACE was performed with complete response. Two years after surgery, the patient is alive and without recurrence.