Long-Term Survival of a Patient with Adenocarcinoma of the Esophagogastric Junction with a Portal Vein Tumor Thrombosis Who Underwent Palliative Total Gastrectomy: A Case Report

Abstract

Portal vein tumor thrombosis (PVTT) with advanced gastric cancer is very rare; when it occurs, it exhibits aggressive growth and carries a poor prognosis. In addition, definitive treatment has not been established due to insufficient data. Herein, we report a case of PVTT associated with an adenocarcinoma of the esophagogastric junction that was successfully controlled by means of a palliative total gastrectomy without surgical resection of the PVTT and administration of palliative continuous doxifluridine.

Isolated Malignant Portal Vein Thrombus in Colon Carcinoma: A Rare Finding on 18F-FDG PET/CECT

“…Malignant portal vein tumor thrombosis is a rare entity, seen in approximately only 2%-3% of patients with either primary or secondary malignant liver lesions (1). Possible mechanisms for malignant portal vein tumor thrombosis that have been mentioned in the literature are shunt formation between the hepatic artery and the portal vein and microscopic invasion of the portal vein from an adjacent hepatic lobule (2,3).…”