 Hepatocellular carcinoma HCC is the sixth most common cancer worldwide and the third major cause of cancer-related death. HCC is characterized by its propensity for portal vein invasion. Portal vein tumor thrombosis PVTT can be detected macroscopically in the portal vein in 44 to 62.2 of autopsy cases. The natural history of untreated HCC with PVTT is dismal. The median survival of such patients was reported to be 2.7 mouths. 