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Volume 3(1); July 2003
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Review Articles
Treatment of Recurrent Hepatocellular Carcinoma After Surgical Resection
Han Chu Lee
Journal of the Korean Liver Cancer Study Group. 2003;3(1):1-5.   Published online July 31, 2003
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Surgical Treatment of Recurrent Hepatocellular Carcinoma after Resection
Jin Sub Choi
Journal of the Korean Liver Cancer Study Group. 2003;3(1):6-9.   Published online July 31, 2003
  • 325 Views
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Interventional Management of Recurrent Hepatocellular Carcinomas after Hepatomy
Dong Il Choi
Journal of the Korean Liver Cancer Study Group. 2003;3(1):10-20.   Published online July 31, 2003
  • 652 Views
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Differential Diagnosis of Heaptocellular Carcinoma in Radiology
Jeong-Sik Yu
Journal of the Korean Liver Cancer Study Group. 2003;3(1):21-29.   Published online July 31, 2003
  • 408 Views
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Hepatocellular Carcinomas with Atypical Imaging Features
Jeong Min Lee, Se Hyung Kim
Journal of the Korean Liver Cancer Study Group. 2003;3(1):30-39.   Published online July 31, 2003
  • 337 Views
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Pathologic Differentiation between Dysplastic Nodule and Well-differentiated Heaptocellular Carcinoma
So-Young Jin
Journal of the Korean Liver Cancer Study Group. 2003;3(1):40-47.   Published online July 31, 2003
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Case Reports
A Case of Percutaneous Radiofrequency Ablation of Recurrent Hepatocellular Carcinomas after Hepatectomy
Min Ju Kim, Dong Il Choi, Hyo Keun Lim, Won Jae Lee
Journal of the Korean Liver Cancer Study Group. 2003;3(1):48-52.   Published online July 31, 2003
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AbstractAbstract PDF
A 43-year-old man who had hepatic segmentectomy due to hepatocellular carcinoma was found to have a recurrent hepatocelllular carcinoma in the remnant liver along the resection margin. The patient has been performed radiofrequency ablation three times for recurrent hepatocellular carcinomas through 27 months after initial hepatectomy. We report a case of recurrent hepatocellular carcinomas after hepatectomy that were susccessfully treated radiofrequency ablation.
A Case of Liver Hemangioma Mimicking Hepatocellular Carcinoma
Hang Ju Cho, Il Young Park, Young Sok Lee, Nam Ik Han, Yeon Su Lim, Jean A Kim
Journal of the Korean Liver Cancer Study Group. 2003;3(1):53-56.   Published online July 31, 2003
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AbstractAbstract PDF
Cavernous hemangioma is the most common begin hepatic tumor. But unfortunately, differentiation with hepatocellular carcinoma is quite difficult especially in patients with an underlying liver cirrhosis. A 49-year-old man with alcoholic liver cirrhosis was admitted for evaluation of a hepatic lesion found during a routine follow up. There was no abnormal findings in the physical examination. The HBs Ag, anit-HBs Ab, anti-HCV Ab were all negative, with an AFP level of 3.28 ng/mL. The dynamic CT scan revealed a 2 cm sized mass with a heterogenously enhancement on arterial phase at S6, which became isoattenuation on portal phase and delayed phase. Angiographic study showed a hypervascular mass with an arteriovenous shunt and in the lipiodol CT, a 2 cm sized mass with a lipiodol uptake was detected in the same area. Segmentectomy of S6 was performed under the impression of HCC. The cut surface of the mass had a sponge like feature, and was pathologically defined as cavernous hemangioma. From out experience, we recommentd careful assessment and differentiation of hemangioma and hepatocellular carcinoma to avoid misdiagnosis and MRI might be helpful in this case.
A Case of High Grade Dysplastic Nodule, Diagnosed as Hepatocelluar Carcinoma before Operation
Sang-Hyung Cho, Joong-Won Park, Hyun-Bae Son, Seong-Hoon Kim, Hyun-Jung Jang, Hong-Suk Park, Woo-Jin Lee, Sang-Jae Park, Eun-Kyung Hong, Chang-Min Kim
Journal of the Korean Liver Cancer Study Group. 2003;3(1):57-60.   Published online July 31, 2003
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AbstractAbstract PDF
A 58-years-old male was referred to our hospital for further evaluation and treatment due to hepatic mass which was found on US. He was a heavy drinker and there was no evidence of abnormal finding in liver function test including HBs Ag and Anti-HCV Ab negative. Liver CT revealed an enhancing hepatic mass on arterial phase. we had confirmed hepatocellular carcinoma by sono-guided liver biopsy, and so performed left lobectomy. After operation, We diagnosed the resected liver specimen not hepatocellular carcinoma but high grade dysplastic nodule by several immunohistochemical staining. There was no evidence of recurrence during 5-month follow-up.
A Case of Focal Nodular Hyperplasia
Beom Jin Kim, Moon Seok Choi, Joon Hyeok Lee, Kwang Cheol Koh, Seung Woon Paik, Byung Chul Yoo, Won Jae Lee, Cheol Keun Park
Journal of the Korean Liver Cancer Study Group. 2003;3(1):61-64.   Published online July 31, 2003
  • 415 Views
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AbstractAbstract PDF
Focal nodular hyperplasia (FNH) of the liver is a rare benign lesion characterized by nodular hyperplasia of hepatic parenchyma around a central stellate area of fibrosis associated with an anomalous artery. The histological feature of FNH is dominated by a progressive fibrotic process. In the present report, we described a 2.2×2.1 cm sized asymptomatic lesion of FNH observed in a 47-year-old woman with hepatitis B healthy carrier. This lesion was disclosed by various imaging procedures. Under the clinical impression of hepatocellular carcinoma a right. lobe subsegmentectomy was performed. The mass was firm and showed yellow-brownish color and septal fibrosis. It was accompanied with marginal ductal proliferation. These results were consistent with the typical observations in FNH. It also showed small stellate scar with radiating thin fibrous band and formation of small parenchymal nodules. We report a case of FNH of the liver difficult to differentiate hepatocellular carcinoma.
Hepatoid Adenocarcinoma of the Stomach with Liver Metastasis Mimicking Hepatocellular Carcinoma
Se Hyung Kim, Byung Ihn Choi
Journal of the Korean Liver Cancer Study Group. 2003;3(1):65-68.   Published online July 31, 2003
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AbstractAbstract PDF
We describe a case of hepatoid adenocarcinoma of the stomach with liver metastasis mimicking hepatocellular carcinoma (HCC). Ultrasonography demonstrated an ill-defined heterogeneous hyperechoic mass at right lobe of the liver and high echoic thrombi that filled both portal veins. Contrast enhanced CT scan revealed an ill-defined low attenuated lesion in right lobe of the liver and left portal vein and posterior branch of right portal vein that were filled with low attenuated tumor thrombi. Diffuse and irregular wall thickening with enhancement was also visualized on the posterior wall of the stomach from cardia to angle. Endoscopic biopsy for gastric lesion and US-guided percutaneous core biopsy for hepatic mass were performed. Microscopic examination and immunohistochemical staining revealed aFP-producing hepatoid adenocarcinoma of the stomach and metastatic tumor of the liver.
Eosinophilic Liver Abscess - Preoperatively Misdiagnosed as a Hepatocellular Carcinoma -
Seok Ho Choi, Kyu Eun Lee, Nam-Joon Yi, Choon Hyuck Kwon, Young Moon Jang, Seong Hwan Jang, Kyung-Suk Suh, Kuhn Uk Lee
Journal of the Korean Liver Cancer Study Group. 2003;3(1):69-72.   Published online July 31, 2003
  • 415 Views
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AbstractAbstract PDF
A 43-year-old man was admitted with the known liver mass with eosinophilia. He had a 2 cm-sized liver mass in the lateral segment of liver. The mass had a high attenuation in arterial phase and low attenuation in portal phase. He underwent laparoscopy-assisted hepatic resection with the impression of hepatocellular carcinoma. The pathologic diagnosis was eosinophilic abscess postoperatively. The etiology was Toxocara diagnosed with th aid of enzyme-linked immunosorbent assay.
Fibrolamellar Hepatocellular Carcinoma: A Report of Four Cases
Yong Keun Park, Young Bae Kim, Sung Won Jo, Jin Mo Yang, Jai Keun Kim, Hee Jung Wang, Myung Wook Kim
Journal of the Korean Liver Cancer Study Group. 2003;3(1):73-76.   Published online July 31, 2003
  • 405 Views
  • 1 Download
AbstractAbstract PDF
Fibrolamellar hepatocellular carcinoma (FL-HCC) is relatively rare, with only two cases reported in Korean literature. Four cases (1.4%:4/282) with typical FL-HCC underwent partial hepatectomies in Ajou University Hospital from July 1994 through January 2003. We report these cases with a review of related literatures.
A Case of Atypical Imaging Finding for Hepatocellular Carcinoma
Sang-Hyung Cho, Seong-Hoon Kim, Hyun-Jung Jang, Hong-Suk Park, Woo-Jin Lee, Sang-Jae Park, Joong-Won Park, Eun-Kyung Hong, Chang-Min Kim
Journal of the Korean Liver Cancer Study Group. 2003;3(1):77-79.   Published online July 31, 2003
  • 440 Views
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AbstractAbstract PDF
A 62-year-old male was referred to our hospital for further evaluation and treatment due to hepatocellular carcinoma. He was performed to TACE once. Threre was no evidence of abnormal finding except HBs Ag positive. We performed four times of TACE. Another hepatic mass was found on Liver CT which was observed in delyed phase not in arterial phase, portal phase. We diagnosed hepatocellular carcinoma by sono-guided Liver biopsy and radiofrequency ablation was performed because of no response to further TACE. There wad no evidence of recurring during 3-month follow-up.
Atypical Hepatocellular Carcinoma in an AIDS Patient
Se Hyung Kim, Joon Koo Han
Journal of the Korean Liver Cancer Study Group. 2003;3(1):80-82.   Published online July 31, 2003
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AbstractAbstract PDF
We described a case of atypical hepatocellular carcinoma (HCC) in an AIDS patient. The patient presented with fever and leukocytosis and had no evidence of chronic hepatitis clinically and radiologically. Ultrasonography showed multiple variable sized low echoic nodules, which had low echoic peripheral halo, in both lobes of the liver. Contrast enhanced CT scan showed multiple well demarcated and low attenuated nodules in both lobes of the liver. Hepatic and portal veins were intact. Percutaneous core biopsy for hepatic nodules revealed cod-like distribution of malignant cells and HCC with trabecular type was finally diagnosed.

JLC : Journal of Liver Cancer