Comprehensive Treatment of Advanced Liver Cancer Complicated with Upper Gastrointestinal Bleeding in Multidisciplinary Team Model: A Case Report

A 44-year-old male was presented to emergency department because of repeated abdominal distension for 1 month, melena for 1 day and hematemesis for 4 hours. After examination, he was diagnosed with esophageal varices (III degree) and hemorrhage, primary massive hepatocellular carcinoma (cT3aN1Mx) and hepatitis B cirrhosis. In collaboration with the MDT team, this patient received a comprehensive treatment for up to 19 months which included surgical devascularization and cryoablation for liver cancer, TACE, SBRT, molecular targeted therapy, Chinese medicine treatment, antiviral therapy and so on. The latest review showed that liver cancer had distant metastasis, but the quality of life was still good. It seems that the comprehensive treatment of MDT is helpful for patients with HCC to improve the quality of life.