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Journal of the Korean Liver Cancer Study Group 2008;8(1):81-85.
Published online June 30, 2008.
A Case of Successful Pulmonary Resection in Patient with Lung Metastasis of Hepatocellular Carcinoma
Ik Yoon1, Hyung Joon Yim1, Jin Nam Kim1, Sun Min Park1, Jeong Han Kim1, Seung Hwa Lee2, Ju-Han Lee3, Hwan-Hoon Chung2, Hong Sik Lee1, Hyung Joo Park4, Sang Woo Lee1, Jai Hyun Choi1
1Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
2Department of Radiology, Korea University College of Medicine, Seoul, Korea
3Department of Pathology, Korea University College of Medicine, Seoul, Korea
4Department of Thoracic and Cardiovascular Surgery, Korea University College of Medicine, Seoul, Korea
Correspondence:  Hyung Joon Yim,
Email: gudwns21@medimail.co.kr
Abstract
Lung is the most common site of extrahepatic metastasis from hepatocellular carcinoma (HCC). Until now, there have been few reports about surgical resection for pulmonary metastasis from HCC, but the role and the indication of surgery for pulmonary metastasis remains unclear. We report a case of advanced HCC with pulmonary metastasis, which was effectively treated by metastasectomy. A 45-year-old male patient who had received TACE (transarterial chemoembolization) 14 times for hepatocellular carcinoma was found to have solitary metastasis in the right hilar area of the lung. Surgical metastasectomy was performed and pulmonary metastatic nodule was successfully removed. Primary tumor in the liver was effectively treated with TACE and follow-up CT (computed tomography) showed no viable tumor in the liver and the lung.
Key Words: Hepatocellular carcinoma; Lung metastasis; Metastasectomy; Transarterial chemoembolization
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