Prolonged survival after repeat resection of pulmonary metastasis from hepatocellular carcinoma |
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Authors: | Aramaki Masanori Kawano Katsunori Sasaki Atsushi Matsumoto Toshifumi Kai Seiichiro Iwashita Yukio Himeno Yoshihisa Kitano Seigo |
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Institution: | (1) First Department of Surgery, Oita Medical University, 1-1 Idaigaoka, Hasamamachi, Oita 879-5593, Japan, JP |
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Abstract: | We report a patient in whom two pulmonary resections were performed for lung metastasis after hepatic resection of hepatocellular
carcinoma (HCC). A 56-year-old Japanese man with an 8-year history of chronic liver disease was admitted with elevated serum
alpha-fetoprotein (AFP) and a liver tumor that had been detected by ultrasonography. Computed tomography showed a 6-cm tumor
in the medial segment of the liver, and partial resection of the medial segment was performed. Thirty-six months after the
first operation, pulmonary resection was performed for a solitary metastasis in the left lung. Fifty-one months after the
second operation, a solitary metastatic tumor was detected in the right lung, without any evidence of recurrence or other
metastatic foci, and thoracoscopic partial resection of the right lung was performed as the third operation. The patient is
alive 36 months after the second pulmonary resection, has a normal AFP value, and shows no signs of recurrent or metastatic
foci. Repeat pulmonary resection for metastasis from HCC resulted in long-term survival in this patient.
Received: September 21, 2001 / Accepted: April 2, 2002 |
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Keywords: | Repeat pulmonary resection Hepatocellular carcinoma |
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