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KMID : 0964020090090010082
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Journal of the Korean Liver Cancer Study Group
2009 Volume.9 No. 1 p.82 ~ p.85
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A Case of Advanced Hepatocellular Carcinoma in Twenties Treated by Multimodality Therapy
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Lee Jang-Eun
Yoon Na-Ri
Bae Si-Hyun
Choi Jong-Young
Yoon Seung-Gyu
Kim Dong-Goo
Chun Ho-Jong
Choi Byung-Gil
Lee Hae-Giu
Jang Hong-Seok
Jung Chan-Kwon
Jung Eun-Sun
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Abstract
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The prognosis of young patients with hepatocellular carcinoma is remains controversial. Here we report a case of advanced hepatocellular carcinoma in twenty, successfully treated with transarterial chemolipidolization (TACL), systemic chemotherapy, radiation therapy and surgical resection. Previously healthy 28 years old woman was admitted for treatment of hepatocellular carcinoma. Abdominal CT showed a diffuse infiltrative HCC involving both lobes with intrahepatic bile duct invasion and pericardial lymphadenopathy. She was treated TAC with systemic chemotherapy and external beam radiotherapy. 6 months after these treatments, main tumor and the pericardial lymph node were decreased in size. And then extended left lobectomy and systemic chemotherapy were done. The pericardial lymph node was markedly decreased. The patient has been followed for 10 months without evidence of regional tumor recurrence.
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KEYWORD
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Hepatocellular carcinoma, Young age, Transarterial chemolipiodolization, Radiation therapy, Hepatic Lobectom
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