EFFICACY AND SAFETY OF STEREOTACTIC BODY RADIOTHERAPYFOR TREATMENT OF ADVANCED HEPATOCELLULAR CARCINOMA WITH PORTAL VEIN THROMBOSIS

Đinh Thị Ngà1, Thái Doãn Kỳ1, , Nguyễn Anh Tuấn1, Nguyễn Đình Châu1, Bùi Quang Biểu1, Mai Thanh Bình1, Đinh Trường Giang1, Nguyễn Văn Thái1, Nguyễn Tiến Thịnh1
1 108 Military Central Hospital

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Abstract

Objective: To evaluate the initial results and toxicity of stereotactic body radiotherapy (SBRT)for treatment ofHepatocellular Carcinoma (HCC) with Portal Vein Thrombosis (PVT). Methods: A prospective study on 31 HCC patients with main branch or trunk portal vein thrombosis were treated by SBRT; follow-up between July, 2018 to June, 2021at Military Central Hospital 108. Ojective Response Rate (ORR), Overall Survival (OS) andtoxicitywere evaluated andanalyzed. Results: The objective response rate after 3 months and 6 months were 67.7% and37.9%, respectively.The median Overall Survival was 13 months. The overall survival rate after 6 months, 1- year was 93.5% and 54.8%. Most of  toxicities were grade 1or2 including thrombocytopenia, liver enzyme elevation, abdominal pain. There was no case of treatment-related death. Conclusion: SBRT is a safe and effective treatment option for advancedHCC with PVT

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References

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