Rapid Intra-Hepatic Dissemination of Hepatocellular Carcinoma with Pulmonary Metastases Following Combined Loco-Regional Therapy.
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3348/kjr.2013.14.4.640
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Uei PUA
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore. druei@yahoo.com
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Case Reports
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Metastases;
			        		
			        		
			        		
				        		Hepatocellular carcinoma;
			        		
			        		
			        		
				        		Chemoembolization;
			        		
			        		
			        		
				        		Radiofrequency ablation
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Aged, 80 and over;
				        		
			        		
				        		
					        		Antineoplastic Agents/administration & dosage/*adverse effects;
				        		
			        		
				        		
					        		Biopsy;
				        		
			        		
				        		
					        		Carcinoma, Hepatocellular/diagnosis/*secondary/therapy;
				        		
			        		
				        		
					        		Catheter Ablation/*adverse effects;
				        		
			        		
				        		
					        		Chemoembolization, Therapeutic/*adverse effects;
				        		
			        		
				        		
					        		Cone-Beam Computed Tomography;
				        		
			        		
				        		
					        		Fatal Outcome;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		Liver Neoplasms/*pathology/therapy;
				        		
			        		
				        		
					        		Lung Neoplasms/diagnosis/*secondary;
				        		
			        		
				        		
					        		Male
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Korean Journal of Radiology
	            		
	            		 2013;14(4):640-642
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	This manuscript describes an unusual case of rapid intra-hepatic dissemination of hepatocellular carcinoma with pulmonary metastases occurring 1 month after combined chemoembolization and radiofrequency ablation. Inferior vena cava and portal vein invasion tumor thrombus was also detected, possibly accounting for the mechanism of disease dissemination route of disease.