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