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KMID : 0602620010070030330
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Korean Journal of Hepatology
2001 Volume.7 No. 3 p.330 ~ p.335
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A Case of Spontaneous Necrosis of Hepatocellular Carcinoma after Development of Pneumonia
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이시훈/Si Hoon Lee
김철/이상철/김성은/박영년/송건훈/한광협/전재윤/문영명/Cheol Kim/Sang Chul Lee/Sung Eun Kim/Young Nyun Park/Kun Hoon Song/Kwang Hyub Han/Chae Yoon Chon/Young Myoung Moon
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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.
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KEYWORD
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