Stereotactic body radiotherapy for pediatric hepatocellular carcinoma with central biliary obstruction.

Abstract:

:Here, we present the case of a pediatric patient with newly diagnosed hepatocellular carcinoma causing central biliary obstruction and persistently elevated bilirubin of 3.0-4.3 mg/dl despite placement of bilateral internal-external biliary drains. The tumor was not resectable, and the patient was not a candidate for liver transplant due to nodal disease, for chemotherapy due to hyperbilirubinemia, or for local therapies aside from stereotactic body radiotherapy (SBRT). In this report, we discuss the successful use of SBRT in the management of this patient, and its role in allowing the patient to become a candidate for additional therapies.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

Hiniker SM,Rangaswami A,Lungren MP,Thakor AS,Concepcion W,Balazy KE,Kovalchuk N,Donaldson SS

doi

10.1002/pbc.26330

subject

Has Abstract

pub_date

2017-06-01 00:00:00

issue

6

eissn

1545-5009

issn

1545-5017

journal_volume

64

pub_type

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