3.A case of giant hemangioma of the liver presenting with fever of unknown origin.
Cheol Whan LEE ; Young Hwa CHUNG ; Geun Chan LEE ; Jin Yub KIM ; Jung Sin LEE
Journal of Korean Medical Science 1994;9(2):200-204
A 37 year-old-woman was admitted to the hospital because of 15 days' duration of continuous fever. Routine studies for detection of fever foci were negative. Imaging studies revealed giant hemangioma of the liver with central thrombosis. The fever persisted for a period of 4 weeks, and subsided after conservative management. We report a case of hepatic hemangioma presenting with fever of unknown origin. The condition is very rare, but should be regarded as one of the causes of fever of unknown origin.
Adult
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Female
;
Fever of Unknown Origin/*etiology
;
Hemangioma/complications/*diagnosis
;
Humans
;
Liver Neoplasms/complications/*diagnosis
4.A Case of Hepatocellular Carcinoma Combined with Liver Abscess.
Ju Ok YEOM ; Seung Bae YOON ; Jae Gyung KIM ; Jung Hwan OH ; Eun Jung JEON ; Jeong Jo JEONG ; Sang Wook CHOI ; Seong LEE
The Korean Journal of Gastroenterology 2009;53(6):378-382
Hepatocellular calcinoma (HCC) is the fifth most common cancer and the third leading cause of cancer-related deaths worldwide. It is important to diagnose HCC exactly before management is attempted. But, the clinical presentations and radiologic findings of liver abscess, HCC, and metastatic tumor to the liver may be quite similar, and procedures such as serum tumor marker assay, computerized tomography, and ultrasonography of the liver cannot make a specific diagnosis. We report a case of HCC successfully diagnosed by surgery which was misconceived as liver abscess and not improved by medical treatment.
Carcinoma, Hepatocellular/complications/*diagnosis/pathology
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Humans
;
Liver/ultrasonography
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Liver Abscess/complications/*diagnosis/pathology
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Liver Neoplasms/complications/*diagnosis/pathology
;
Male
;
Middle Aged
;
Tomography, X-Ray Computed
5.Current status and progress in gastric cancer with liver metastasis.
Chinese Medical Journal 2011;124(3):445-456
OBJECTIVEThis review discusses the current status and progress in studies on gastric cancer with liver metastasis (GCLM), involving the routes, subtypes, and prognosis of GCLM; the genes and molecules associated with metastasis; the feasibility and value of each imaging modality; and current treatment options.
DATA SOURCESThe data used in this review were mainly from Medline and PubMed published in English from 2005 to August 2010. The search terms were "gastric cancer" and "liver metastasis".
STUDY SELECTIONArticles regarding the characteristics, diagnostic modalities, and various therapeutic options of GCLM were selected.
RESULTSThe prognosis of GCLM is influenced by the clinicopathological characteristics of primary tumors, as well as the presence of liver metastases. Improved understanding of related genes and molecules will lead to the development of methods of early detection and targeted therapies. For the diagnosis of GCLM, each imaging modality has its relative benefits. There remains no consensus regarding therapeutic options.
CONCLUSIONSEarly detection and characterization of liver metastases is crucial for the prognosis of gastric cancer patients. Multidisciplinary team discussions are required to design optimal treatment strategies, which should be based on the clinicopathological characteristics of each patient.
Humans ; Liver Neoplasms ; diagnosis ; drug therapy ; secondary ; surgery ; Stomach Neoplasms ; complications ; diagnosis ; drug therapy ; surgery
6.A synchronous hepatocellular carcinoma and renal cell carcinoma treated with radio-frequency ablation.
Yoon Serk LEE ; Jeong Han KIM ; Hyeon Young YOON ; Won Hyeok CHOE ; So Young KWON ; Chang Hong LEE
Clinical and Molecular Hepatology 2014;20(3):306-309
Radio-frequency ablation (RFA) is a curative treatment for hepatocellular carcinoma (HCC). Percutaneous RFA has been shown to be beneficial for patients with small renal cell carcinoma (RCC) lacking indications for resection. We experienced the case of a 53-year-old male who had conditions that suggested HCC, RCC, and alcoholic liver cirrhosis. Abdominal contrast-enhanced computed tomography (CT) and magnetic resonance image showed liver cirrhosis with 2.8 cm ill-defined mass in segment 2 of the liver and 1.9 cm hypervascular mass in the left kidney. These findings were compatible with the double primary cancers of HCC and RCC. Transarterial chemoembolization (TACE) was performed to treat the HCC. After the TACE, a focal lipiodol uptake defect was noticed on a follow up CT images and loco-regional treatment was recommended. Therefore, we performed RFAs to treat HCC and RCC. There was no evidence of recurrence in the follow up image after 1 month.
Carcinoma, Hepatocellular/complications/*diagnosis/therapy
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Carcinoma, Renal Cell/complications/*diagnosis/therapy
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Catheter Ablation
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Humans
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Kidney Neoplasms/complications/*diagnosis/therapy
;
Liver Cirrhosis/complications/*diagnosis
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Liver Neoplasms/complications/*diagnosis/therapy
;
Magnetic Resonance Imaging
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Male
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Middle Aged
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Tomography, X-Ray Computed
7.Hepatocellular Carcinoma, Polymyositis, Rhabdomyolysis, and Acute Renal Failure.
Mi Jeong KIM ; Jin A KIM ; Mi Sook SUNG ; Jun Ki MIN
Journal of Korean Medical Science 2004;19(6):891-894
A 55 yr-old man presented with progressive muscle weakness and oliguria for 5days. Laboratory findings suggested rhabdomyolysis complicated with acute renal failure. A diagnosis of polymyositis was based upon the proximal muscle weakness on both upper and lower limbs, elevated muscle enzyme levels, muscle biopsy findings and the needle electromyography findings. The muscle biopsy showed extensive muscle necrosis and calcification. Investigations for underlying malignancy demonstrated hepatocellular carcinoma. The patient was managed with hemodialysis and high dose prednisolone. His renal function was fully recovered and his muscle power did improve slightly, but he died of a rupture of the hepatic tumor. In our view, this is an interesting case in that the hepatocellular carcinoma was associated with polymyositis and fulminant rhabdomyolysis-induced acute renal failure requiring hemodialysis.
Carcinoma, Hepatocellular/complications/*diagnosis
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Diagnosis, Differential
;
Humans
;
Kidney Failure, Acute/*diagnosis/etiology
;
Liver Neoplasms/complications/*diagnosis
;
Male
;
Middle Aged
;
Polymyositis/complications/*diagnosis
;
Rhabdomyolysis/*diagnosis/etiology
8.Solitary Extrahepatic Intraabdominal Metastasis from Hepatocellular Carcinoma after Liver Transplantation.
Sae Byeol CHOI ; Hyungi KIM ; Sung Hoon KIM ; Young Nyun PARK ; Kyung Sik KIM
Yonsei Medical Journal 2011;52(1):199-203
A liver transplantation is a treatment option in selected patients with hepatocellular carcinoma (HCC). Despite the adequate selection of candidates, recurrences of HCC may still develop. Solitary extrahepatic metastasis from HCC after a liver transplantation is rare. Here we report two cases of HCC demonstrated extrahepatic recurrence to the adrenal gland and spleen, respectively, within one year after a liver transplantation. Since the treatment of solitary extrahepatic metastasis from HCC after a liver transplantation is not standardized, surgical resection was performed. In the case of HCC adrenal metastasis, innumerable intrahepatic metastases were found two months after the adrenalectomy. And 16 months after adrenalectomy, the patient expired due to tumor progression and hepatic failure. In the case of HCC splenic metastasis, postoperative radiation therapy was performed. However, two recurrent HCC nodules were found 15 months after the splenectomy and received transarterial chemoembolization (TACE). And 29 month after the splenectomy, the patient also expired as same causes of former patient.
Aged
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Carcinoma, Hepatocellular/complications/*therapy
;
Humans
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Liver Neoplasms/complications/*therapy
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*Liver Transplantation
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Male
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Middle Aged
;
Neoplasm Metastasis/*diagnosis
9.Solitary Extrahepatic Intraabdominal Metastasis from Hepatocellular Carcinoma after Liver Transplantation.
Sae Byeol CHOI ; Hyungi KIM ; Sung Hoon KIM ; Young Nyun PARK ; Kyung Sik KIM
Yonsei Medical Journal 2011;52(1):199-203
A liver transplantation is a treatment option in selected patients with hepatocellular carcinoma (HCC). Despite the adequate selection of candidates, recurrences of HCC may still develop. Solitary extrahepatic metastasis from HCC after a liver transplantation is rare. Here we report two cases of HCC demonstrated extrahepatic recurrence to the adrenal gland and spleen, respectively, within one year after a liver transplantation. Since the treatment of solitary extrahepatic metastasis from HCC after a liver transplantation is not standardized, surgical resection was performed. In the case of HCC adrenal metastasis, innumerable intrahepatic metastases were found two months after the adrenalectomy. And 16 months after adrenalectomy, the patient expired due to tumor progression and hepatic failure. In the case of HCC splenic metastasis, postoperative radiation therapy was performed. However, two recurrent HCC nodules were found 15 months after the splenectomy and received transarterial chemoembolization (TACE). And 29 month after the splenectomy, the patient also expired as same causes of former patient.
Aged
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Carcinoma, Hepatocellular/complications/*therapy
;
Humans
;
Liver Neoplasms/complications/*therapy
;
*Liver Transplantation
;
Male
;
Middle Aged
;
Neoplasm Metastasis/*diagnosis
10.A Case of Primary Hepatic Leiomyosarcoma with Intrahepatic and Abdominal Subcutaneous Metastasis in Behcet's Disease.
Ki Min KWON ; Byoung Kuk JANG ; Woo Jin CHUNG ; Kyung Sik PARK ; Kwang Bum CHO ; Jae Seok HWANG ; Koo Jeong KANG ; Yu Na KANG ; Jung Hyeok KWON
The Korean Journal of Hepatology 2005;11(4):386-391
Primary hepatic leiomyosarcoma is a very rare tumor of the liver and primary hepatic leiomyosarcoma with Behcet's disease has not been reported previously. Behcet's disease is a multisystem disorder presenting with recurrent oral and genital ulcerations as well as ocular lesions; it has rarely been reported in association with malignant disease. We report a case of primary hepatic leiomyosarcoma with intrahepatic and abdominal subcutaneous metastasis in a patient with Behcet's disease; this is the first report of these findings in Korea.
Abdominal Neoplasms/diagnosis/*secondary
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*Abdominal Wall
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Adult
;
Behcet Syndrome/*complications
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Female
;
Humans
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Leiomyosarcoma/*complications/diagnosis/*secondary
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Liver Neoplasms/*complications/diagnosis/*secondary
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*Subcutaneous Tissue