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Left hepatectomy of hepatocellular carcinoma at Barcelona Clinic Liver Cancer staged C after downgrading transformation with the combination of targeted and immunotherapy: a case report
2020
患者男性，54岁，诊断为肝左叶肝癌并肝内多发转移伴门静脉主干及左支癌栓(巴塞罗那分期为C期，门静脉癌栓Ⅲ型)。该患者手术不可切除，也不符合经导管肝动脉栓塞化疗适应证，故选择抗血管生成靶向药物阿帕替尼联合程序性死亡蛋白-1抗体治疗。经过6个周期治疗，肝左叶主病灶明显缩小，门静脉癌栓从门静脉主干退至门静脉左支内，肝内转移病灶消失，经评估后成功施行了荧光腹腔镜左半肝切除术。
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