A case of simultaneous abdominal wall metastasis of hepatocellular carcinoma with long-term relapse-free survival after laparoscopic resection
| Autor: | Kiichi Sugimoto, Shingo Kawano, Yutaka Kojima, Shun Ishiyama, Michitoshi Goto, Harumi Saeki, Masaya Kawai, Natsumi Tomita, Shuichiro Shiina, Makoto Takahashi, Shinya Munakata, Kazuhiro Sakamoto |
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| Rok vydání: | 2021 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Radiofrequency ablation medicine.medical_treatment Case Report law.invention Abdominal wall 03 medical and health sciences 0302 clinical medicine law Medicine Fluorodeoxyglucose Laparoscopic surgery (resection) medicine.diagnostic_test business.industry HCC (hepatocellular carcinoma) Radiofrequency ablation (RFA) General Medicine medicine.disease medicine.anatomical_structure Extrahepatic metastasis Positron emission tomography 030220 oncology & carcinogenesis Liver biopsy Hepatocellular carcinoma Abdomen 030211 gastroenterology & hepatology Radiology business medicine.drug |
| Zdroj: | International Cancer Conference Journal |
| ISSN: | 2192-3183 |
| Popis: | We report our experience of an extremely rare case of a simultaneous extrahepatic metastasis of hepatocellular carcinoma (HCC) with long-term relapse-free survival, treated by laparoscopic resection of an abdominal wall tumor and subsequent radiofrequency ablation (RFA) of an intrahepatic lesion. A 76-year-old man visited a local clinic for right lower abdominal pain. He was treated with antibiotics and the symptom resolved. However, a mass was detected in the same region and he was referred to our hospital for further evaluation. Computed tomography (CT) of the abdomen showed a mass 5 cm in diameter, raising suspicions of an intra-abdominal tumor. Laparoscopic surgery was performed, and the tumor was found in the abdominal wall and completely resected. Histopathological examination yielded a diagnosis of extrahepatic HCC. Post-operative positron emission tomography (PET)-CT showed increased uptake of fluorodeoxyglucose in segment 3 (S3) of the liver. On performing a liver biopsy, HCC was diagnosed. Subsequently, the S3 lesion was treated with radiofrequency ablation. The patient has remained relapse-free for 6 years without further treatments. |
| Databáze: | OpenAIRE |
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