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Journal of the Korean Liver Cancer Study 2009;9(1):29-32.
Published online June 30, 2009.
A Case of Hepatocellular Carcinoma with Early Multiple Recurrences after Liver Resection
Jae Hong Ahn1, Hyung Joon Yim1, Seung Young Kim1, Jeong Han Kim1, Yeon Seok Seo1, Seung Hwa Lee2, Hwan Hoon Chung2, Tae Jin Song3, Hong Sik Lee1, Sang Woo Lee1, Soon Ho Um1, Jai Hyun Choi1, Ho Sang Ryu1
1Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
2Department of Radiology, Korea University College of Medicine, Seoul, Korea
3Department of Surgery, Korea University College of Medicine, Seoul, Korea
Correspondence:  Hyung Joon Yim,
Email: gudwns21@medimail.co.kr
Copyright ©2009 by The Korean Liver Cancer Association
Abstract
Hepatic resection is a standard curative therapy for hepatocellular carcinoma (HCC) although only 10~30% of patients are indicated due to advanced stage or poor hepatic reserve. Five year survival rate after resection was reported as a mean of 55% (25~93%), but cases of early recurrence after hepatic resection had poor prognosis. As early recurrence after hepatic resection is the one of the most important factors that determines the prognosis, many investigators have been trying to determine the factors associated with early recurrence. We report a case of early multiple recurrence of HCC after curative hepatic resection probably due to microvascular invasion of tumor and too close resection margin. We would like to suggest that additional prophylactic measures need to be sought in this group of patients because these factors may influence on early recurrence.
Key Words: Hepatocellular carcinoma; Hepatic resection; Early recurrence
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