A Case of Complete Response by Multidisciplinary Management in a Patient with Solitary Bone Metastasis after Curative Resection of Hepatocellular Carcinoma.
10.17998/jlc.2016.16.1.52
- Author:
Seawon HWANG
1
;
Hyun YANG
;
Hae Lim LEE
;
Jeong Won JANG
;
Si Hyun BAE
;
Jong Young CHOI
;
Seung Kew YOON
Author Information
1. Department of Internal Medicine, The Catholic University of Korea Seoul St. Mary's Hospital, Seoul, Korea. garden@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Hepatocellular carcinoma;
Metastasis;
Multidisciplinary management;
Complete response;
Prognosis
- MeSH:
Aged;
Carcinoma, Hepatocellular*;
Follow-Up Studies;
Hepatectomy;
Humans;
Life Expectancy;
Magnetic Resonance Imaging;
Male;
Neoplasm Metastasis*;
Palliative Care;
Pelvic Pain;
Pelvis;
Prognosis;
Radiotherapy;
Recurrence
- From:Journal of Liver Cancer
2016;16(1):52-56
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Despite recent advances in the treatment of hepatocellular carcinoma (HCC), the prognosis of patients with extrahepatic metastasis from HCC still remains dismal. The current study presents a case of HCC that was metastatic to the pelvis and describes successful treatment with multidisciplinary approach to the skeletal metastasis. The patient was a 67-year-old male who presented with right pelvic pain 28 months following right hepatectomy for HCC. Computed tomography and magnetic resonance imaging indicated a solitary bone metastasis without intrahepatic recurrence. Complete response was achieved with multidisciplinary management including sorafenib, transarterial embolization, surgery to remove the metastatic mass and radiotherapy after surgery. A post-operative follow-up 15 months later found that the patient remained in good health with maintained complete response. This case suggests that a multidisciplinary approach can achieve long-term cancer-free survival and prolonged life expectancy beyond palliative care for patients with solitary bone metastasis after curative surgery for HCC.
