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Ectopic Hepatocellular Carcinoma of the Diaphragm
Authors:Tsai-Wang Huang  De-Chuan Chan  Herng-Sheng Lee  Nai-Shun Yao  Shih-Chin Lee  Yeung-Leung Cheng
Affiliation:(1) Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC;(2) Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC;(3) Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC;(4) Division of Hematology and Oncology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC;(5) Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, 325 Cheng-Kung Road, 2nd Section, Taipei, 114, Taiwan, Republic of China
Abstract:Ectopic hepatocellular carcinoma (HCC) is very rarely reported. It may occur at various sites. To the best of our knowledge, only one case of ectopic HCC of the diaphragm has been reported. We present another such case with invasion to the lung. Subtotal resection of the left hemidiaphragm, wedge resection of the lung (left lower lobe), and splenectomy were undertaken. Postoperative course was unremarkable; the patient received two courses of adjuvant chemotherapy with cisplatin, VP-16, and bleomycin 1 month later. Follow-up computed tomography and ultrasound were performed 8 months later; there was no local recurrence or distal metastasis.
Keywords:Ectopic hepatocellular carcinoma  Diaphragm tumor
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