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KMID : 1039320160160010052
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Journal of Liver Cancer
2016 Volume.16 No. 1 p.52 ~ p.56
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A Case of Complete Response by Multidisciplinary Management in a Patient with Solitary Bone Metastasis after Curative Resection of Hepatocellular Carcinoma
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황세원:Hwang Sea-Won
양현:Yang Hyun/이해림:Lee Hae-Lim/장정원:Jang Jeong-Won/배시현:Bae Si-Hyun/최종영:Choi Jong-Young/윤승규:Yoon Seung-Kew
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Abstract
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Despite recent advances in the treatment of hepatocellular carcinoma (HCC), the prognosis of patients with extrahepatic metastasis from HCC still remains dismal. The current study presents a case of HCC that was metastatic to the pelvis and describes successful treatment with multidisciplinary approach to the skeletal metastasis. The patient was a 67-year-old male who presented with right pelvic pain 28 months following right hepatectomy for HCC. Computed tomography and magnetic resonance imaging indicated a solitary bone metastasis without intrahepatic recurrence. Complete response was achieved with multidisciplinary management including sorafenib, transarterial embolization, surgery to remove the metastatic mass and radiotherapy after surgery. A post-operative follow-up 15 months later found that the patient remained in good health with maintained complete response. This case suggests that a multidisciplinary approach can achieve long-term cancer-free survival and prolonged life expectancy beyond palliative care for patients with solitary bone metastasis after curative surgery for HCC.
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KEYWORD
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Hepatocellular carcinoma, Metastasis, Multidisciplinary management, Complete response, Prognosis
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