A Case of Postoperative Recurrence of Hepatocelluar Carcinoma in Pelvic Bone without Intrahepatic Metastasis Eight Year After.
- Author:
Deok Kyu CHO
1
;
Kwang Hyub HAN
;
Jae Youn CHEONG
;
Do Yun LEE
;
Se Hoon KIM
;
Young Nyun PARK
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Neoplasm/Liver/Hepatocellular carcinoma;
Postoperative recurrence;
Metastasis;
Bone
- MeSH:
Acetabulum;
alpha-Fetoproteins;
Carcinoma, Hepatocellular;
Diagnosis;
Drug Therapy;
Fluorouracil;
Humans;
Magnetic Resonance Imaging;
Mastectomy, Segmental;
Middle Aged;
Neoplasm Metastasis*;
Pelvic Bones*;
Radiotherapy;
Recurrence*;
Ultrasonography
- From:The Korean Journal of Hepatology
2001;7(3):315-319
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In hepatocellular carcinoma distant metastasis after curative surgical resection without intrahepatic metastasis is very rare. A 55-year old man presented with a huge pelvic bone mass. Eight years ago he underwent posterior hepatic segmentectomy following diagnosis of hepatocelluar carcinoma. He has received regular check-ups with abdominal ultrasonography and serum alpha-fetoprotein. On admission an MRI on the pelvic area showed an 18x10 cm sized lobulated mass invading the pelvic bone and acetabulum. Microscopic examination revealed that the tumor was a well differentiated hepatocellular carcinoma. There was no evidence of intrahepatic recurrence. He was treated with transarterial chemoembolization, external radiotherapy (total 3750 cGy), and systemic chemotherapy using 5-fluorouracil.
