case_images: PMC10762641_01
case_images: Multistage liver-enhanced CT and gadoxetate disodium-enhanced MRI scans of the liver showed that S3 and S4 occupied the liver at the first visit. The red arrow indicates an intrahepatic tumor. (A) Initiation-CT image in the period of non-contrast scan. (B) Initiation-CT image in the period of arterial phase. (C) Initiation-CT image in the period of portal vein phase. (D) Initiation-CT image in the period of delay phase. (E) Initiation-MRI image in the period of arterial phase. (F) Initiation-MRI image in the period of portal vein phase. (G) Initiation-MRI image in the period of non-contrast scan. (H) Initiation-MRI image in the period of hepatobiliary phase.
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case_images: PMC10762641_01_fimmu-14-1325445-g001.jpg
case_images: f1
case_images: Liver CT and liver MRI indicated that S3 and S4 occupied liver space ( Figures 1A-H ), and tumor recurrence was considered.
case_images: Serum AFP level (ng/mL) decreased significantly during treatment. The number following the pound sign ("#") represents the cycle of one form of treatment.
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case_images: PMC10762641_01_fimmu-14-1325445-g002.jpg
case_images: f2
case_images: After three cycles HAIC treatments, tumor markers showed a downward trend ( Figure 2 ).
case_images: Results of multi-phase CT scans can be evaluated after different periods of conversion therapy. The red arrow indicates an intrahepatic tumor. (A) CT image after two cycles of conversion therapy in the period of non-contrast scan. (B) CT image after two cycles of conversion therapy in the period of the arterial phase. (C) CT image after two cycles of conversion therapy in the period of the portal vein phase. (D) CT image after two cycles of conversion therapy in the period of the delay phase. (E) CT image after preoperation in the period of non-contrast scan. (F) CT image after preoperation in the period of the arterial phase. (G) CT image after preoperation in the period of the portal vein phase. (H) CT image after preoperation in the period of the delay phase.
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case_images: PMC10762641_01_fimmu-14-1325445-g003.jpg
case_images: f3
case_images: Tumor Efficacy (mRECIST) method, the patient's liver S3 and S4 tumors reached complete response (CR) level, and the tumors showed no significant activity ( Figures 3A-H ). The current treatment reached the expected level, and surgical treatment could be performed.
case_images: Gross and microscopic pathology of resected specimens. (A, B) Gross pathology and (C, D) microscope pathology of hematoxylin-eosin staining.
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case_images: f4
case_images: In in vitro measurements, the closest distance of the S3 and S4 tumors from the incisal margin was 0 cm ( Figures 4A-D ).