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  • P-ISSN 1010-0695
  • E-ISSN 2288-3339

고주파 온열치료와 소라페닙을 병용하여 호전된 재발성 간암환자 1례

A Case Report of Recurred Hepatocellular Carcinoma Patient Treated with Radio-Frequency Hyperthermia in Conjunction with Sorafenib

대한한의학회지 / Journal of Korean Medicine, (P)1010-0695; (E)2288-3339
2016, v.21 no.2, pp.63-74
https://doi.org/10.15432/JKTO.2016.21.2.063
김지혜 (대전대학교)
이종훈 (우석대학교)
주종천 (원광대학교)
이정복 (대전대학교 둔산한방병원 동서암센터)
조종관 (대전대학교)
유화승 (대전대학교)
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Abstract

Objective : The purpose of this study is to report the effects of radio-frequency hyperthermia cancer treatment in conjunction with Sorafenib on hepatocellular carcinoma patient. Method : The patient was diagnosed with hepatocellular carcinoma at S6/7 and treated with right posterior sectionectomy. After 4 months, tumor recurrence was found at S4, 5 and 8. After transarterial chemoembolization, the patient was prescribed Sorafenib (proprietary name <TEX>$Nexavar^{(R)}$</TEX> ) as well as proceeding with radio-frequency hyperthermia. The clinical outcomes were measured by computed tomography, laboratory findings including tumor markers (AFP, PIVKA-II), natural killer (NK) cell activity, and numeric rating scales (NRS). Results : After the treatment, tumor size was decreased accompanying by reducing the level of tumor markers (AFP, PIVKA-II). Major clinical symptoms were improved with increasing NK cell activity. There were no adverse events based on National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0. Conclusion : This case suggests that radio-frequency hyperthermia has synergistic effect for the treatment of hepatocellular carcinoma patient in conjunction with Sorafenib.

keywords
Hepatocellular carcinoma, Radio-frequency hyperthermia, Sorafenib, a-fetoprotein, PIVKA-II, Natural killer cell activity


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