A Case of Management for Early Recurrence after Hepatic Resection for the Treatment of Small Hepatocellular Carcinoma.
- Author:
Kyung Woo PARK
1
;
Young Seok KIM
;
Sang Gyune KIM
;
Soung Won JEONG
;
Jae Young JANG
;
Hong Soo KIM
;
Sae Hwan LEE
;
Boo Sung KIM
;
Jun Cheol JEONG
;
Min Hee LEE
;
Jae Myeong LEE
;
Hee Kyung KIM
Author Information
1. Digestive Disease Center, Department of Gastroenterology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. liverkys@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Hepatocelluar carcinoma;
Chemoembolization;
Resection;
Recurrence
- MeSH:
Carcinoma, Hepatocellular*;
Doxorubicin;
Ethiodized Oil;
Follow-Up Studies;
Gelatin Sponge, Absorbable;
Hepatic Artery;
Humans;
Injections, Intra-Arterial;
Liver;
Liver Transplantation;
Middle Aged;
Neoplasm Metastasis;
Recurrence*
- From:Journal of Liver Cancer
2015;15(2):122-125
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
For a small hepatocellular carcinoma (HCC), liver resection shows most favorable outcome in case which liver transplantation is not available, although it has also substantial recurrence rate. Here, we report a case of recurred HCC with multiple intrahepatic metastasis at 5 months after surgical resection for small HCC was done. A 55-year-old man with chronic HBV infection received subsegmentectomy for HCC less than 2 cm. A follow-up computed tomography (CT) at 5 months from operation revealed that there were multiple enhancing nodules in entire remnant liver. Intra-arterial injections of adriamycin mixed lipiodol and gelfoam particles were instituted through hepatic artery. We assume that poorly differentiated cellular feature would be attributable to this kind of very early and aggressive recurrence of HCC.
