Journal of Liver Cancer

2 "Lymph node metastasis"

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Case Reports

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

Abstract PDF: 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.

A Case of Early Multiple Recurrences After Hepatectomy with Lymph Node Dissection in Hepatocellular Carcinoma with Lymph Node Metastasis: Byoung Kuk Jang, Ki Min Kwun, Woo Jin Jung, Kyung Sik Park, Kwang Byum Jo, Jae Suk Hwang, Seong Hoon Ahn, Ku Jung Kang, Jung Hyuk Kwun; Journal of the Korean Liver Cancer Study Group. 2004;4(1):62-66. Published online June 30, 2004

Abstract PDF: A 52-year-old man who underwent left hepatectomy with lymph node dissection due to hepatocellular carcinoma with lymph node metastasis. After 5 months of surgery, multiple recurrences were founded throughout the liver, lung, bones and intraperitoneal lymph nodes. The patient died of liver failure after rupture of recurrent hepatic tumor. From our experience, we reaffirmed that the prognosis of patients with nodal metastasis from hepatocellular carcinoma was generally poor, even after hepatic resection with lymph node dissection was performed.

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