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KMID : 0964020090090010063
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Journal of the Korean Liver Cancer Study Group
2009 Volume.9 No. 1 p.63 ~ p.66
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A Case of Massive Hepatocellular Carcinoma Treated by Hepatic Resection, which did not Respond to Transarterial Chemoembolization
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Kim Jeong-Han
Choi Jai-Hyun
Kim Seung-Young
Song Tae-Jin
Lee Seung-Hwa
Ahn Jae-Hong
Kim Ji-Hoon
Seo Yeon-Seok
Yim Hyung-Joon
Chung Hwan-Hoon
Lee Hong-Sik
Lee Sang-Woo
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Abstract
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Surgical resection is the treatment of choice for hepatocellular carcinoma (HCC) in non-cirrhotic patients. The optimal
indication for resection is a single tumor in a suitable location for resection. However, limit of the tumor size is not clear.
We report a case of successful hepatic resection in patients with massive HCC sized more than 15 cm that did not respond to transarterial chemoembolization (TACE). A 49-year-old male patient had received TACE two times for massive HCC. However, the tumor size increased. Right hemihepatectomy was performed despite the extensive tumor size and underlying liver cirrhosis. Ascites and wound infection were developed after resection, but the patient’s general condition got recovered soon. Until 6 months after surgery, recurrence has not been detected. However, distant metastasis was noted at 7th month. Although recurrence with distant metastasis was noted, we think aggressive surgical approach prolonged this patient’s survival.
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KEYWORD
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Hepatocellular carcinoma, Transarterial chemoembolization, Hepatic resection
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