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Clin Mol Hepatol : Clinical and Molecular Hepatology

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"Postoperative recurrence"

Case Report
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.†
Korean J Hepatol 2001;7(3):315-319.
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)
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