- A Case of Extrahepatic Metastasis of Hepatocellular Carcinoma to the Pronator Quadratus Muscle of Right Wrist
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Yonng Wook Song, Byung seok Lee, Seok Hyun Kim, Eaum seok Lee, Heon Young Lee
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J Liver Cancer. 2015;15(1):41-45. Published online March 31, 2015
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DOI: https://doi.org/10.17998/jlc.15.1.41
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Abstract
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- Hepatocellular carcinoma (HCC) is usually associated with chronic liver disease such as
liver cirrhosis. Primary HCC lesions and even recurrent intrahepatic lesions can be treated
successfully by using variable modalities applicable to intrahepatic lesions. HCC can cause
intrahepatic multiple occurrence and extrahepatic metastasis. Extrahepatic metastasis occurs
in up to about 60% of patients of HCC, and a major of patients with extrahepatic HCC had late
intrahepatic stage of tumor. Themost frequent site of extrahepatic metastasis of HCC was the
lung. HCC metastasized to soft tissues was unusually reported. Extrahepatic metastasis of
HCC, especially to unusual site, should not be overlooked and must be able to be controlled.
We experienced a case that HCC was metastasized to the pronator quadratus muscle of right
wrist and chould be removed surgically.
- 3 Cases of Portal Vein Thrombosis in Hepatocellular Carcinoma and Liver Cirrhosis Treated with Anticoagulation
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Byung Moo Ahn, Eaum Seok Lee, Seok Hyun Kim, Byung Seok Lee, Heon Young Lee
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J Liver Cancer. 2015;15(1):57-63. Published online March 31, 2015
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DOI: https://doi.org/10.17998/jlc.15.1.57
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Abstract
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- The reported prevalence of PVT is in the range of 0.6-15.8% in patient with liver cirrhosis
or portal hypertension. If the patient has hepatocellular carcinoma, thrombus is likely to be
malignant thrombus. Malignancy, frequently of hepatic origin, is responsible for 21-24% of
over all cases. The overall mortality rate of chronic PVT has been reported to be less than
10%, but is increased to 26% when associated with hepatocellular carcinoma and cirrhosis.
However, no treatment guideline has been established on anticoagulant therapy for PVT in
patients with concomitant hepatocellular carcinoma and cirrhosis. Because actually it is not
easy to distinguish between malignant thrombus and benign thrombus in clinical aspect, PVT
in hepatocellular carcinoma are still debatable whether or not treatment when it diagnosed.
We present 3 cases of portal vein thrombosis successfully treated with anticoagulation in
hepatocellular carcinoma and liver cirrhosis, and we include a literature review.
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Citations
Citations to this article as recorded by
- Evaluation of Low-Molecular-Weight Heparin for Treatment of Portal Vein Thrombosis in Liver Cirrhosis Patients
Ji Min Han, Youngil Koh, Sung Hwan Kim, Sung Yun Suh, Yoon Sook Cho, Jeong-Hoon Lee, Su Jong Yu, Jung-Hwan Yoon, Hye Sun Gwak Medicina.2023; 59(2): 292. CrossRef
- A Case of Combined hepatocellular carcinoma and cholangiocarcinoma (CHC) without underlying liver disease.
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Jae Hoon Jung, Jung Il Kim, Sun Hyung Kang, Seok Hee Moon, Seok Hyun Kim, Byung Seok Lee, Heon Young Lee, Joon Sik Cho, Kyung Sook Shin, Dae Young Kang, Hyun Mo Kang
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Journal of the Korean Liver Cancer Study Group. 2007;7(1):62-65. Published online June 30, 2007
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Abstract
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- Combined hepatocellular carcinoma and cholangiocarcinoma (CHC) is a rare form of primary liver cancer having
features of both hepatocelluar and biliary epithelial differentiation and is related to cirrhosis. Recently, a 64-oldmale
who was admitted to our hospital for evaulation of hepatic mass which was detected on ultrasonography.
He had no underlying cirrhosis. Based on serologic findings of high alpha-fetoprotein(AFP) level, a preoperative
diagnosis of hepatocellular carcinoma was made. A right lobectomy was done. On histologic examination, the
resected tumor was shown to consist of two different tissues. On immunohistochemistry, the tumor is postitive
for both anti-hepatocyte, CK-7 and CK-19. Finally we confirm combined hepatocellular carcinoma and
cholangiocarcinoma (CHC).
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