A Case of Postoperative Recurrence of Heatocelluar Carcinoma in Pelvic Bone without Intrahepatic Metastasis Eight Year After

Korean J Hepatol > Volume 7(3); 2001 > Article

The Korean Journal of Hepatology 2001;7(3): 315-319.

수술 8 년 후 간내 재발없이 골반골부위 전이로 발견된 간세포암종 1 예 ( A Case of Postoperative Recurrence of Heatocelluar Carcinoma in Pelvic Bone without Intrahepatic Metastasis Eight Year After )

A Case of Postoperative Recurrence of Heatocelluar Carcinoma in Pelvic Bone without Intrahepatic Metastasis Eight Year After

Deok-Kyu Cho, M.D., Kwang Hyub Han, M.D., Jae Youn Cheong, M.D., Do Yun Lee, M.D.*, Se Hoon Kim, M.D.†, and Young Nyun Park, M.D.†

Department of Internal Medicine, Radiology*, and Pathology† Yonsei University College of Medicine, Seoul, Korea

ABSTRACT

In hepatocellular carcinoma distant metastasis after curative surgical resection without intrahepatic metastasis is very rare. A 55-year old man presented with a huge pelvic bone mass. Eight years ago he underwent posterior hepatic segmentectomy following diagnosis of hepatocelluar carcinoma. He has received regular check-ups with abdominal ultrasonography and serum alpha-fetoprotein. On admission an MRI on the pelvic area showed an 18×10cm sized lobulated mass invading the pelvic bone and acetabulum. Microscopic examination revealed that the tumor was a well differentiated hepatocellular carcinoma. There was no evidence of intrahepatic recurrence. He was treated with transarterial chemoembolization, external radiotherapy(total 3750 cGy), and systemic chemotherapy using 5-fluorouracil. (Korean J Hepatol 2001;7:315-319)

KeyWords: Neoplasm/Liver/Hepatocellular carcinoma, Postoperative recurrence, Metastasis, Bone