Hepatic Resection for Large Hepatic Metastasis of Adrenocortical Carcinoma after Cyberknife Treatment.
10.4174/jkss.2010.79.Suppl1.S45
- Author:
Sung Wook KWON
;
In Seok CHOI
;
Sang Eok LEE
;
Won Joon CHOI
;
Dae Sung YOON
;
Hyun Sik MIN
- Publication Type:Case Report
- Keywords:
Cyberknife;
Neoadjuvant radiotherapy
- MeSH:
Adrenalectomy;
Adrenocortical Carcinoma;
Liver;
Liver Neoplasms;
Neoadjuvant Therapy;
Neoplasm Metastasis;
Palliative Care;
Radiosurgery
- From:Journal of the Korean Surgical Society
2010;79(Suppl 1):S45-S49
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Surgical resection is the best treatment for operable metastatic liver cancer. Large metastatic cancer usually has low operability, so a debulking modality of mass is needed to increase operability. Chemotherapy and radiotherapy were commonly used as neoadjuvant treatments. Cyberknife stereotactic radiosurgery systems were only considered as one of the palliative treatment modalities for inoperable or surgically complex tumors. But, in this case, we applied Cyberknife as the preoperative debulking modality for large hepatic metastasis of adrenocortical carcinoma. After Cyberknife treatment 3 cyclex2,700 cGY, tumor size decreased (metastatic liver mass decreased to 15x9 cm from 19x12.5 cm, adrenal mass decreased to 5x3 cm from 7.4x4.5 cm). We could then resect the tumor completely by extended right hemihepatectomy & right adrenalectomy. A preoperative multidisciplinary approach, including chemotherapy and radiation therapy can be considered to increase operability. So, cyberknife can be considered an additional modality as a neoadjuvant radiotherapy.
