Published online Jun 14, 2013. doi: 10.3748/wjg.v19.i22.3512
Revised: April 14, 2013
Accepted: April 18, 2013
Published online: June 14, 2013
Core tip: This report presents a patient with metastatic hepatocellular carcinoma localized to his mediastinum. The metastatic tumor grew rapidly, with α-fetoprotein (AFP) elevation rates correlating with the size of the tumor and tumor growth. We used several sessions of transarterial embolization to control this metastatic tumor. After every successful intervention, the tumor had been stabilized and AFP levels were decreased significantly, resulting in a survival time of the patient that is much longer when compared to the mean survival times of others with similar diagnoses. Transarterial embolization could be an alternative treatment choice for patients with mediastinal metastasis of hepatocellular carcinoma.