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KMID : 0882420120820050603
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Korean Journal of Medicine
2012 Volume.82 No. 5 p.603 ~ p.608
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Localized Uterine Recurrence of Hepatocellular Carcinoma 4 Years after Curative Resection
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Lee Sang-Jin
Shin Jung-Woo
Park Neung-Hwa
Nah Yang-Won
Yoo Hang-Jo
Jeong Yoong-Ki
Choi Hye-Jeong
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Abstract
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Extrahepatic metastasis of hepatocellular carcinoma (HCC) can be found in various organs, but metastasis to the female genital tract is extremely rare. A 48-year-old woman who had undergone curative left lobectomy for small HCC 4 years earlier was admitted because of sequential alpha-fetoprotein elevation. Upon abdominal MRI and hepatic angiography, no evidence of HCC recurrence was found in the remnant liver. However, a positron emission tomography CT scan showed a hypermetabolic lesion in the uterine fundus, which was revealed as metastatic HCC after total hysterectomy. This is, to our knowledge, the first documented case of metastatic uterine tumor that originated from HCC without intrahepatic recurrence.
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KEYWORD
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Hepatocellular carcinoma, Uterine neoplasm, Metastatic neoplasm
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