- A Case of Massive HCC Treated with Surgical Resection
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Shin Young Lee, Hee Bok Chae, Dong Hee Ryu, Il Hun Bae, Rohyun Sung
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Journal of the Korean Liver Cancer Study Group. 2009;9(1):59-62. Published online June 30, 2009
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Abstract
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- A 59-year-old male patient visited ER complaining of persistent pain in his right upper quadrant abdomen. He had suffered
from end stage renal disease secondary to long-term hypertension and had been under the maintenance hemodialysis for 13
years. Half a month ago, he recognized a mass at his epigastric area. He did not have any history of liver disease in his
lifetime. Physical exams revealed that he had a tender and hard mass on his right upper quadrant and epigastric area. Total
bilirubin was 0.6 mg/dL, AST/ALT was 59/75 IU/L, and AFP was 105,740 ng/mL. Computed tomography showed the huge
liver mass in the left lobe and its size was estimated about 16cm. The regional lymph node was also found in the porta
hepatis area. He received complete resection of the hepatoma and was discharged. We concerned about high probability of
recurrence because of the pre-operative AFP level and vascular invasion in the pathologic specimen.
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