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KMID : 0614619950270060744
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Korean Journal of Gastroenterology
1995 Volume.27 No. 6 p.744 ~ p.748
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Liver Transplantation in Terminal Stage Hepatocellular Carcinoma
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김수태
김건표/정승용/한세환/민승기/정중기/이건욱/이효석/오용석
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Abstract
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Partial resection of liver is the standard treatment modality in hepatocellular carcinoma (HCC). But the resection of liver is impossible in large HCC, especially with the cirrhotic liver. An alternative treatment for such patients would be
orthotopic
liver transplantation. We experienced a case of liver transplantation for HCC patient with far advanced disease. The patient had no clinical evidence of distant metastasis preoperatively. We did liver transplantation from a donor who was
diagnosed
as
brain death due to traffic accident. The blood type was compatible and operation was finished successfully. Immunosuppressive treatment with cyclosporine was done and the recipient was known to have hepatitis B. Hepatitis B immune globulin was
administered. Immediate postoperative recovery was uneventful but the failure in the of alpha-fetoprotein to pormal level was observed. Multiple hot uptake of bone was detected on the bone scan during the follow up and the recipient was expired
after 7
months. (Korean J Gastroenterol 1995; 27: 744-748)
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