- A Case of Hepatocellular Carcinoma in Young Age Younger than 20 Years Old
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Joo Won Chung, Seung Up Kim, Jun Yong Park, Sang Hoon Ahn, Kwang-Hyub Han, Chae Yoon Chon, Geung-kyu Ko, Jin Sil Seong, Jong Hee Chang, Do Young Kim
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Journal of the Korean Liver Cancer Study Group. 2009;9(1):71-75. Published online June 30, 2009
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Abstract
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- Hepatocellular carcinoma (HCC) is very rare in young age. Most young patients tend to receive the evaluation only when
they experience intractable or persistent symptoms. Therefore, HCC in young patients is often diagnosed at advanced stage
and thus, young HCC patients have a worse prognosis than older HCC. However, because young HCC patients show
well-preserved liver function than older HCC, they are tolerable to more aggressive treatments. We report a case of advanced
HCC in 13-year and 8-month old male who has been a B-viral carrier. Despite the tumor size decreased after concurrent
chemoradiation therapy, multiple lung and brain metastases developed. He underwent radiofrequency ablations on lung
metastases and gamma-knife surgery on brain metastasis, and he has received systemic and intra-arterial chemotherapy. The
screening and early diagnosis of HCC in young age is needed especially for B-viral carrier with a family history of HCC.
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