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Case Reports
- A Case of Spontaneous Rupture of Hepatocellular Carcinoma Supplied by the Right Renal Capsular Artery Treated by Transcatheter Arterial Embolization
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Joo Yeon Jang, Ung Bae Jeon, Jin Hyeok Kim, Tae Un Kim, Hwaseong Ryu, Mong Cho, Young Mi Hong, Maeran Kim
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J Liver Cancer. 2019;19(1):59-63. Published online March 31, 2019
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DOI: https://doi.org/10.17998/jlc.19.1.59
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Abstract
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- We present a case of spontaneous rupture of hepatocellular carcinoma with poor liver function managed by transcatheter arterial embolization (TAE). The patient’s bilirubin level was 2.1 mg/dL, albumin level was 2.4 g/dL, and prothrombin time international normalized ratio was 2.1. In addition, the patient had also developed a large number of ascites. The tumor was supplied by the right renal capsular artery, as observed on angiography. With successful TAE, no hepatic failure occurred. We believe TAE can be a safe and effective treatment option, even in patients with poor liver function, if tumors are supplied only by extrahepatic collateral vessels.
- A Case of Long Term Survival in Patient with Early Intrahepatic Recurrence and Extrahepatic Metastasis after Curative Resection of Hepatocellular Carcinoma
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Dong Il Jeong, Young Mi Hong, Mong Cho, Ki Tae Yoon
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J Liver Cancer. 2015;15(2):132-135. Published online September 30, 2015
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DOI: https://doi.org/10.17998/jlc.15.2.132
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Abstract
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- The most effective therapy in patients with hepatocellular carcinoma (HCC) is curative
resection of liver cancer. However, the long-term prognosis is not good in high intrahepatic
recurrence. The recurrence rate after curative resection of HCC is 70-100% and the average
survival time was about 15.8 months in early relapse after curative resection. Extra hepatic
metastases in HCC is associated not uncommon, in general, lungs are the most common
organ, lymph nodes, bone, and adrenal gland is relatively often observed. Extrahepatic
recurrence after curative resection of HCC has been reported in 14-26% of the total recurrent
cancer. Most of the recurrent cancer is multiple and the median survival time of patients
after the extrahepatic recurrence is about 4-5 months it found that the prognosis is very
poor. Therefore, the authors report a case showed long term survival in patients with early
intrahepatic recur and extrahepatic metastasis after curative resection of HCC.