A Case of Spontaneous Necrosis of Hepatocellular Carcinoma after Development of Pneumonia.
- Author:
Sihoon LEE
1
;
Cheol KIM
;
Sang Chul LEE
;
Sung Eun KIM
;
Young Nyun PARK
;
Kun Hoon SONG
;
Kwang Hyub HAN
;
Chae Yoon CHON
;
Young Myoung MOON
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. mymoon@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Neoplasm/Liver/Hepatocellular Carcinoma;
Spontaneous Necrosis;
Pneumonia
- MeSH:
Angiography;
Asian Continental Ancestry Group;
Carcinoma, Hepatocellular*;
Humans;
Korea;
Liver;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Necrosis*;
Pathology;
Pneumonia*
- From:The Korean Journal of Hepatology
2001;7(3):330-335
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous regression of hepatocellular carcinoma is an extraordinarily rare phenomenon. Fewer than 20 occasions have been reported in the English medical literature. There have only been 5 case reports in Korea. Understanding of the mechanism of spontaneous regression of hepatocellular carcinoma will help us to establish new treatments for the disease. In this case report, we present a 53 year-old Asian male who showed spontaneous necrosis of hepatocellular carcinoma confirmed with pathology. He developed a febrile condition secondary to pneumonia for 2 weeks. After that hepatocellular carcinoma was observed to have been necrosed on an MRI scan and hepatic angiography. A right lobectomy of the liver was done because the possibility of residual microscopic cancer cells could not be ruled out. The pathologic finding confirmed the spontaneous near-total necrosis of hepatocellular carcinoma. The patient has recovered uneventfully and has been followed up for 7 months.
