폐렴 발생 후 자연 괴사된 간세포암종 1 예 ( A Case of Spontaneous Necm4 of Hepatoellular Carcinoma after Development of Pneumonia ) |
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A Case of Spontaneous Necm4 of Hepatoellular Carcinoma after Development of Pneumonia |
Sihoon Lee, M.D., Cheol Kim, M.D., Sang Chul Lee, M.D., Sung Eun Kim, M.D.*,
Young Nyun Park, M.D.*, Kun Hoon Song M.D., Kwang-Hyub Han, M.D.,
Chae Yoon Chon, M.D., and Young Myoung Moon M.D. |
Department of Internal Medicine and Pathology*, Yonsei University College of Medicine, Seoul, Korea |
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ABSTRACT |
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Spontaneous regression of hepatocellular carcinoma is an extraordinarily rare phenomenon. Fewer than 20 occasions have been reported in the English medical literature. There have only been 5 case reports in Korea. Understanding of the mechanism of spontaneous regression of hepatocellular carcinoma will help us to establish new treatments for the disease. In this case report, we present a 53 year-old Asian male who showed spontaneous necrosis of hepatocellular carcinoma confirmed with pathology. He developed a febrile condition secondary to pneumonia for 2 weeks. After that hepatocellular carcinoma was observed to have been necrosed on an MRI scan and hepatic angiography. A right lobectomy of the liver was done because the possibility of residual microscopic cancer cells could not be ruled out. The pathologic finding confirmed the spontaneous near-total necrosis of hepatocellular carcinoma. The patient has recovered uneventfully and has been followed up for 7 months.(Korean J Hepatol 2001;7:330-335) |
KeyWords:
Neoplasm/Liver/Hepatocellular Carcinoma, Spontaneous Necrosis, Pneumonia |
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