Journal of Liver Cancer

Il Hun Bae

2 Articles

A Case of Massive HCC Treated with Surgical Resection: Shin Young Lee, Hee Bok Chae, Dong Hee Ryu, Il Hun Bae, Rohyun Sung; Journal of the Korean Liver Cancer Study Group. 2009;9(1):59-62. Published online June 30, 2009

Abstract PDF: 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.

Metastatic Intra-intraabdominal Lymph Nodes in HCC Patient Treated with Radiotherapy: Ju-Hee Lee, Hee Bok Chae, Il Hun Bae; Journal of the Korean Liver Cancer Study Group. 2008;8(1):86-91. Published online June 30, 2008

Abstract PDF: In cases of lymph node metastasis in hepatocellular carcinoma (HCC), there is still no known effective treatment. Extrahepatic lymph node metastasis of HCC have been treated by radiotherapy alone to achieve the salvage of the disease or symptom palliation until a recent date. We would like to present a HCC case with lymph node metastasis. He was treated with transarterial chemoemblization (TACE) and external beam radiotherapy (RT) for the intra-hepatic masses and intraabdominal lymph nodes, respectively. 5-Months after the treatment, multiple lipiodol uptaken masses and markedly decreased nodes were seen in CT scan. In spite of the partial response of metastatic nodes with RT, the patient died of hepatic failure and recurrence of HCC. We can conclude that RT is an effective treatment modality for metastatic lymph nodes of HCC and can be considered in patients who have both controllable HCC and extrahepatic lymph node metastasis.