Hepatocellular Carcinoma with Hepatic Vein and Inferior Vena Cava Invasion

Akash Shukla; Abhinav Jain

doi:10.1016/j.jceh.2023.03.006

Hepatocellular Carcinoma with Hepatic Vein and Inferior Vena Cava Invasion

J Clin Exp Hepatol. 2023 Sep-Oct;13(5):813-819. doi: 10.1016/j.jceh.2023.03.006. Epub 2023 Mar 28.

Authors

Akash Shukla¹, Abhinav Jain²

Affiliations

¹ Department of Gastroenterology, G.S.Medical College and KEM Hospital, Mumbai, India.
² Gastro1 Hospital, Ahmedabad, India.

Abstract

Hepatocellular carcinoma (HCC) invades intrahepatic vessels causing tumor thrombosis. Infrequently, there is involvement of the hepatic vein (HV) and inferior vena cava (IVC). In this review, we summarize the epidemiology, classification, clinical features, and management of HCC with HV and IVC invasion. While the involvement of HV and IVC usually portends an overall poor survival, selected patients may be candidates for aggressive treatment and thus improving outcomes.

Keywords: hepatectomy; hepatic vein; hepatocellular carcinoma; inferior vena cava; transarterial chemoembolisation.

Publication types

Review