Isolated cardiac metastases of hepatocellular carcinoma after resection: a case report
| Autor: | Tatsuya Maruhashi, Yasushi Nagata, Michio Imamura, Yosuke Tamura, Tomoki Kimura, Akira Hiramatsu, Hiroshi Aikata, Eisuke Murakami, Maiko Namba, Takashi Nakahara, Hideki Ohdan, Kazuaki Chayama, Tomokazu Kawaoka, Yasutomo Fujii, Masami Yamauchi, Tsuyoshi Kobayashi, Kei Morio, K. Arihiro |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Carcinoma Hepatocellular medicine.medical_treatment Heart Neoplasms Lesion 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Surgical oncology Internal medicine Hepatectomy Humans Medicine Chemoembolization Therapeutic Stage (cooking) neoplasms Aged business.industry Arterial Embolization Liver Neoplasms Gastroenterology General Medicine Hepatology medicine.disease digestive system diseases Radiation therapy chemistry 030220 oncology & carcinogenesis Hepatocellular carcinoma 030211 gastroenterology & hepatology Radiology medicine.symptom business Lenvatinib |
| Zdroj: | Clinical Journal of Gastroenterology. 13:421-427 |
| ISSN: | 1865-7265 1865-7257 |
| Popis: | A 76-year-old man was diagnosed with multiple hepatocellular carcinomas (HCCs). He underwent right lobectomy and partial resection of the liver after transcatheter arterial embolization at our hospital. The pathology report was moderately differentiated HCC (fT4N0M0 Stage Iva, Vp1, Vv0). Follow-up CT revealed a lesion in the right ventricle 3 years after surgery. Moderately differentiated HCC was determined on myocardial biopsy, and the lesion was diagnosed as cardiac metastasis of HCC. No recurrence of HCC was observed in the liver. Radiation therapy (39 Gy/13 fr) was performed for the cardiac metastasis, and oral lenvatinib 8 mg/day was started. Evaluation by mRECIST on contrast-enhanced CT indicate a partial response (PR). Lenvatinib has been continued for 7 months. Cardiac metastasis of HCC is extremely rare; herein, we have also provided a literature reviews. |
| Databáze: | OpenAIRE |
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