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- Volume 2(1); July 2002
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Review Articles
- Systemic Treatment of Advanced or Metastatic Hepatocellular Carcinoma
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Joong-Won Park, Hark Kyun Kim
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):1-7. Published online July 31, 2002
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- Surgical Treatment for Advanced Hepatocellular Carcinoma
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Hee Jung Wang
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):8-15. Published online July 31, 2002
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- Interventional Management of Advanced and Metastastic Hepatocellular Carcinomas
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Won Jae
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):16-19. Published online July 31, 2002
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- Hepatocellular Carcinomas of Uncommon Causes and Variant Types
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Moon Seok Choi, Seung Woon Paik
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):20-26. Published online July 31, 2002
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- Pathologic Findings of Variants and Uncommon Types of Primary Liver Cancers
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Young Nyun Park
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):27-35. Published online July 31, 2002
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- Pathologic Findings of Well Differentiated Hepatocellular Carcinoma
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Eun Sil Yu
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):36-42. Published online July 31, 2002
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- Radiologic Diagnosis of Dysplastic Nodule and Well-differentiated Hepatocellular Carcinoma
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Pyo Nyun Kim
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):43-55. Published online July 31, 2002
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Case Reports
- Hepatic Resection of Recurrent Hepatocellular Carcinoma from Multicentric Occurrence
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Dong Shik Lee, Chang Suk Baek, Sung Soo Yoon, Jun Hyuk Choi, Hong Jin Kim
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):56-61. Published online July 31, 2002
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- Recurrence in remnant liver originates from intrahepatic metastasis(IM) from the primary resected tumor or from multicentric occurrence(MO). These two recurrent patterns are completely different and survival after treatment is also different. At present, most surgeons accept a repeated hepatectomy for recurrent HCC is the effective treatment modality. We encountered a recurrent hepatocellular carcinoma by multicentric occurrence in a 49-year-old woman. At first operation, we performed segmentectomy of 7. The tumor was 1cm sized yellowish to gray color mass. Histologically, the tumor was Edmondson-Steiners Grade Ⅱ with trabecular and nodular type of HCC. After 14 months of initial hepatectomy, recurrent tumor staining were detected by angiogram in seg. 6 and 8. We performed the wedge resections of seg. 6 and 8. The tumor of seg. 8 was Edmondson-Steiners grade Ⅰ-Ⅱ with trabecular HCC, and seg. 6 was a very unusual histologic variant of HCC. After 7 months of 2nd hepatectomy, APF was increased 173,7 ng/mL. Arterial angiography revealed small nodule supplied by 4 branch of hepatic artery. We performed the repeat wedge resection of seg. 4. Histologically, the tumor was Edmondson-Steiners Grade Ⅱ with trabecular pattern HCC. The patient is alive and disease-free 6 months after the 3rd operation.
- Transarterial Chemoembolization for Adrenal Metastasis of Hepatocellular Carcinoma : Repart of 1 Case
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Joon-Won Kang, Jin Wook Chung, Chang Jin Yoon, Ah Yong Jung, Hong Suk Chae, Jae Hyung Park
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):62-65. Published online July 31, 2002
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- Adrenal gland is the second most common organ of hematogeneous metastasis from hepatocellular carcinoma, but there are limited reports of treatment and prognosis of adrenal metastasis of hepatocellular carcinoma. We report a case of successful transarterial chemoembolization of adrenal metastasis of hepatocellular carcinoma in 62-year-old male patient.
- Radiofrequency Ablation for Pulmonary Metastasis of Hepatocellular Carcinoma: A Case Report
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):66-68. Published online July 31, 2002
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- A 55 year-old woman who had hepatic segmentectomy and diaphragmatic resection due to hepatocellular carcinoma invading the diaphragm was found to have a solitary pulmonary metastasis in the left lower lobe and bony metastases to the thoracic spines and pelvic bone. Radiofrequency ablation was performed to ablate the pulmonary metastatic nodule measuring 1.5 cm in diameter, while radiation therapy was performed to the bony metastases. Pulmonary metastatic nodule disappeared 10 months after radiofrequency ablation. Therefore, we report a case of solitary pulmonary metastasis of hepatocellular carcinoma that was successfully treated with radiofrequency ablation.
- Surgical Removal of Needle-Tract Seeding in Hepatocellular Carcinoma: A Report of Two Cases
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Soo Ah Kim, Won Jae Lee, Seung Hoon Kim, Hyo Keun Lim
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):69-72. Published online July 31, 2002
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- We describe two case of needle-tract seeding found in the abdominal wall after performing needle biopsy and radiofrequency ablation in a 56 year-old man and 41-year-old woman with hepatocellular carcinomas. Needle-tract seeding was identified at CT 19 and 14 months after the interventional procedures, respectively. Surgical removal was undergone successfully in both patients
- Spontaneous Total Necrotic Hepatocellular Carcinoma
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Young Jun Kim, Jun Yong Jeong, Kyong Ho Lee, Se Hyung Kim, Joon Koo Han, Byung Ihn Choi
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):73-75. Published online July 31, 2002
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- Spontaneous total necrosis of hepatocellular carcinoma is extremely rare, with only 16 cases reported in the English literature. In this report, we describe a case of spontaneous totally necrotic hepatocellular carcinoma in a 53-year-old man who was previously healthy. The hepatic mass was incidentally found. The viral markers for hepatitis B and C were negative and alpha-fetoprotein was normal. Ultrasonography revealed hypoechoic mass with peripheral high echoic rim. On CT, the mass was hypodense in both hepatic arterial phase and portal venous phase. Subtle capsular enhancement was noted in portal venous phase CT. The patient underwent hepatic segmentectomy. The resected hepatic segment revealed 4.5 cm sized, well encapsulated, and nearly totally necrotic mass. On microscopic examination, the ghost cells of hepatocellular carcinoma were found in totally necrotic tissue, supporting diagnosis of hepatocellular carcinoma.
- Sarcomatoid Hepatocellular Carcinoma
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Jin Sub Choi, Kyung Sik Kim, Yong Nyun Park, Woo Jung Lee, Jae Yoon Chon, Jong Tae Lee, Byong Ro Kim
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):76-79. Published online July 31, 2002
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- A 64-year-old male was admitted due to liver mass. He had radical prostatectomy owing to prostate cancer 5 years ago. At that time, the liver mass was found on the right posterior superior segment and had enlarged to 7 cm in diameter at Nov. 2001. The transhepatic chemoembolization with adriamycin 50 mg and gelform was performed but the viable portions of tumor were remained. Total bilirubin was 0.7 mg/dL, Albumin 2.9 g/dL, AST/ALT 24/18 IU/L and AFP 60.31 ng/mL. The ICG R15 was 6.2%. The right lobectomy of liver was done and the pathologic results were sarcomatoid hepatocellular carcinoma. The level of AFP was decreased 2 month after operation but the patient was dead 4 month after operation because of the metastasis to the right psoas muscle and suspected peritoneal seeding.
- Hepatocellular Carcinoma Arising in Hepatic Adenomatosis
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Sun-Young Lee, Moon Seok Choi, Joon Hyoek Lee, Kwang Cheol Koh, Seung Woon Paik, Won Jae Lee
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):80-82. Published online July 31, 2002
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- Hepatic adenomatosis is a disease entity composed of more than 10 adenomas within a normal liver parenchyme. Adenomas in hepatic adenomatosis impare liver function such as ALP and GGT, and also increase the risk of carcinoma and hemorrhage. Imaging study plays important role in diagnosis. And although there is a high risk of hemorrhage via biopsy, it is important to confirm the malignant component and differentiate from metastatic disease or multifocal hepatocellular carcinoma. The treatment is usually lobectomy or embolization of the arterial supply to the largest tumor.
A 28 year-old-man visited our mstitute because of abnormal findings in routine liver function test. On CT finding, there were 15 hepatic masses. The largest one was exceeding 9 cm locating in the right lobe. Although the largest mass revealed hepatocellular carcinoma through biopsy, other 14 nodules were all adenomas. Right lobectomy was done. After 2 months from the operation, transarterial chemoembolization was done for the two times thereafter. He is on regular follow-up at outpatient department without evidence of recurrence.
- A Case of Mixed Hepatocellular and Cholangiocarcinoma
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Jae Hyuk Do, Joong-Won Park, Hyung Joon Kim, Eon Seob Park, Jong Beom Lee, Byung Chul Yoo, Sill Moo Park
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Journal of the Korean Liver Cancer Study Group. 2002;2(1):83-87. Published online July 31, 2002
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- Mixed hepatocellular and cholangiocarcinoma (HCC-CC) is an uncommon form of primary liver cancer. Definition of HCC-CC is both hepatocellular carcinoma and cholangiocarcinoma in the same tumor or in the same liver. We had experienced a case of HCC-CC. A 49 year-old male, who had social drinking history, admitted due to abdominal distension for about 4 days. Physical findings revealed that he had jaundice and ascites. The serum level of total bilirubin, direct bilirubin, AST, ALT, ALP and LDH were elevated. And serum levels of AFP and CEA were normal. But CA 19-9 level was elevated. Hepatitis B surface antibody was positive and anti-HCV antibody was negative. The level of SAAG was 1.4. The US and CT scans revealed heterogeneous echoic and hypodense multifocal mass like lesions were noted on the S6, S7, S8 and S5. And about 3 cm-sized hperechoic ovoid mass lesion was detected at S6. This lesions was not enhanced after contrast injection in CT scan. The IVC and hepatic veins were stenotic and right portal vein was obstructed due to thrombosis. But main portal vein, left portal vein and hepatic arteries were intact. We performed US guide gun biopsy at this mass-like lesion in S6 and diagnosed as mixed hepatocellular and cholangiocarcinoma.
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