Localized Uterine Recurrence of Hepatocellular Carcinoma 4 Years after Curative Resection
- Author:
Sang Jin LEE
1
;
Jung Woo SHIN
;
Neung Hwa PARK
;
Yang Won NAH
;
Hang Jo YOO
;
Yoong Ki JUNG
;
Hye Jeong CHOI
Author Information
1. Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. sheenj@hanmail.net
- Publication Type:Case Report
- Keywords:
Hepatocellular carcinoma;
Uterine neoplasm;
Metastatic neoplasm
- MeSH:
alpha-Fetoproteins;
Angiography;
Carcinoma, Hepatocellular;
Female;
Humans;
Hysterectomy;
Liver;
Middle Aged;
Neoplasm Metastasis;
Positron-Emission Tomography;
Recurrence;
Uterine Neoplasms
- From:Korean Journal of Medicine
2012;82(5):603-608
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Extrahepatic metastasis of hepatocellular carcinoma (HCC) can be found in various organs, but metastasis to the female genital tract is extremely rare. A 48-year-old woman who had undergone curative left lobectomy for small HCC 4 years earlier was admitted because of sequential alpha-fetoprotein elevation. Upon abdominal MRI and hepatic angiography, no evidence of HCC recurrence was found in the remnant liver. However, a positron emission tomography CT scan showed a hypermetabolic lesion in the uterine fundus, which was revealed as metastatic HCC after total hysterectomy. This is, to our knowledge, the first documented case of metastatic uterine tumor that originated from HCC without intrahepatic recurrence.
