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KMID : 1039320150150020122
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Journal of Liver Cancer
2015 Volume.15 No. 2 p.122 ~ p.125
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A Case of Management for Early Recurrence after Hepatic Resection for the Treatment of Small Hepatocellular Carcinoma
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박경우:Park Kyung-Woo
김영석:Kim Young-Seok/김상균:Kim Sang-Gyune/정승원:Jeong Soung-Won/장재영:Jang Jae-Young/김홍수:Kim Hong-Soo/이세환:Lee Sae-Hwan/김부성:Kim Boo-Sung/정준철:Chung Jun-Chul/이민희:Lee Min-Hee/이재명:Lee Jae-Myeong/김희경:Kim Hee-Kyung
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Abstract
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For a small hepatocellular carcinoma (HCC), liver resection shows most favorable outcome in case which liver transplantation is not available, although it has also substantial recurrence rate. Here, we report a case of recurred HCC with multiple intrahepatic metastasis at 5 months after surgical resection for small HCC was done. A 55-year-old man with chronic HBV infection received subsegmentectomy for HCC less than 2 cm. A follow-up computed tomography (CT) at 5 months from operation revealed that there were multiple enhancing nodules in entire remnant liver. Intra-arterial injections of adriamycin mixed lipiodol and gelfoam particles were instituted through hepatic artery. We assume that poorly differentiated cellular feature would be attributable to this kind of very early and aggressive recurrence of HCC.
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KEYWORD
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Hepatocelluar carcinoma, Chemoembolization, Resection, Recurrence
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