Clinical and Molecular Hepatology

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Korean J Hepatol. 2001;7(3):315-319. Published online January 1, 2000.
A Case of Postoperative Recurrence of Heatocelluar Carcinoma in Pelvic Bone without Intrahepatic Metastasis Eight Year After
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

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