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KMID : 0882420150880020202
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Korean Journal of Medicine
2015 Volume.88 No. 2 p.202 ~ p.206
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Cavitary Form of Lung Metastasis from Advanced Hepatocellular Carcinoma
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Jo Yong-Suk
Bae Won
Kim Joo-Hae
Lee Ha-Youn
Kwak Nak-Won
Ko Sung-Jun
Lee Chang-Hoon
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Abstract
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The most common site of extrahepatic metastasis in cases of advanced hepatocellular carcinoma is the lung. A 60-year-old Korean male had been previously diagnosed with hepatocellular carcinoma and was treated several times with transcatheter arterial chemoembolization prior to a regime of sorafenib after multiple bone metastases were detected. Despite 2 months of systemic treatment, the disease progressed, and newly developed cavitary nodules and ground glass opacities were observed on a chest computed tomography scan. Initially the patient was diagnosed with septic pneumonia and was subsequently treated with antibiotics over 2 weeks, with no observable improvement. A percutaneous transthoracic needle aspiration biopsy was performed to ascertain the noninfectious origin of the lung lesions. As a result, a rare form of pulmonary metastasis from hepatocellular carcinoma was discovered. Unfortunately, there were no available treatment options for the patient and so end-of-life care was recommended.
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KEYWORD
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Hepatocellular carcinoma, Infection, Metastasis
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