Complete response of unresectable icteric-type hepatocellular carcinoma to hypofractionated proton beam therapy with concurrent plus adjuvant sorafenib: a case report

2018 ◽  
Vol 2 ◽  
pp. 42-42
Author(s):  
Cheng-En Hsieh ◽  
Ji-Hong Hong ◽  
Chen-Chun Lin ◽  
Ching-Hsin Lee ◽  
Sheng-Ping Hung ◽  
...  
2015 ◽  
Vol 46 (5) ◽  
pp. 483-488 ◽  
Author(s):  
Nao Kinjo ◽  
Yasuharu Ikeda ◽  
Kenichi Taguchi ◽  
Rie Sugimoto ◽  
Shinichiro Maehara ◽  
...  

2018 ◽  
Vol 59 (5) ◽  
pp. 632-638 ◽  
Author(s):  
Masatoshi Nakamura ◽  
Nobuyoshi Fukumitsu ◽  
Satoshi Kamizawa ◽  
Haruko Numajiri ◽  
Keiko Nemoto Murofushi ◽  
...  

Cancers ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 1840
Author(s):  
Taisuke Sumiya ◽  
Masashi Mizumoto ◽  
Yoshiko Oshiro ◽  
Keiichiro Baba ◽  
Motohiro Murakami ◽  
...  

Proton beam therapy (PBT) is a curative treatment for hepatocellular carcinoma (HCC), because it can preserve liver function due to dose targeting via the Bragg peak. However, the degree of direct liver damage by PBT is unclear. In this study, we retrospectively analyzed liver/biliary enzymes and total bilirubin (T-Bil) as markers of direct liver damage during and early after PBT in 300 patients. The levels of these enzymes and bilirubin were almost stable throughout the treatment period. In patients with normal pretreatment levels, aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), gamma-glutamyl transpeptidase (GGT), and T-Bil were abnormally elevated in only 2 (1.2%), 1 (0.4%), 0, 2 (1.2%), and 8 (3.5%) patients, respectively, and in 8 of these 13 patients (61.5%) the elevations were temporary. In patients with abnormal pretreatment levels, the levels tended to decrease during PBT. GGT and T-Bil were elevated by 1.62 and 1.57 times in patients who received 66 Gy (RBE) in 10 fractions and 74 Gy (RBE) in 37 fractions, respectively, but again these changes were temporary. These results suggest that direct damage to normal liver caused by PBT is minimal, even if a patient has abnormal pretreatment enzyme levels.


Oncology ◽  
2011 ◽  
Vol 81 (s1) ◽  
pp. 152-157 ◽  
Author(s):  
Tadashi Inuzuka ◽  
Hiroki Nishikawa ◽  
Akira Sekikawa ◽  
Haruhiko Takeda ◽  
Shinichiro Henmi ◽  
...  

2015 ◽  
Vol 115 ◽  
pp. S346
Author(s):  
T. Okumura ◽  
N. Fukumitsu ◽  
M. Mizumoto ◽  
H. Ishikawa ◽  
K. Ohnishi ◽  
...  

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