Cavitary Form of Lung Metastasis from Advanced Hepatocellular Carcinoma.
10.3904/kjm.2015.88.2.202
- Author:
Yong Suk JO
1
;
Won BAE
;
Joo Hae KIM
;
Ha Youn LEE
;
Nak Won KWAK
;
Sung Jun KO
;
Chang Hoon LEE
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. kauri670@gmail.com
- Publication Type:Case Report
- Keywords:
Hepatocellular carcinoma;
Infection;
Metastasis
- MeSH:
Anti-Bacterial Agents;
Biopsy, Needle;
Carcinoma, Hepatocellular*;
Glass;
Humans;
Lung*;
Male;
Middle Aged;
Needles;
Neoplasm Metastasis*;
Pneumonia;
Thorax
- From:Korean Journal of Medicine
2015;88(2):202-206
- CountryRepublic of Korea
- Language:English
-
Abstract:
The most common site of extrahepatic metastasis in cases of advanced hepatocellular carcinoma is the lung. A 60-year-old Korean male had been previously diagnosed with hepatocellular carcinoma and was treated several times with transcatheter arterial chemoembolization prior to a regime of sorafenib after multiple bone metastases were detected. Despite 2 months of systemic treatment, the disease progressed, and newly developed cavitary nodules and ground glass opacities were observed on a chest computed tomography scan. Initially the patient was diagnosed with septic pneumonia and was subsequently treated with antibiotics over 2 weeks, with no observable improvement. A percutaneous transthoracic needle aspiration biopsy was performed to ascertain the noninfectious origin of the lung lesions. As a result, a rare form of pulmonary metastasis from hepatocellular carcinoma was discovered. Unfortunately, there were no available treatment options for the patient and so end-of-life care was recommended.
