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Journal of the Korean Liver Cancer Study 2009;9(1):59-62.
Published online June 30, 2009.
A Case of Massive HCC Treated with Surgical Resection
Shin Young Lee1, Hee Bok Chae1, Dong Hee Ryu2, Il Hun Bae3, Rohyun Sung4
1Departments of Internal Medicine, Chungbuk National University, School of Medicine, Cheongju, Korea
2Departments of Surgery, Chungbuk National University, School of Medicine, Cheongju, Korea
3Departments of Radiolog, Chungbuk National University, School of Medicine, Cheongju, Korea
4Departments of Pathology, Chungbuk National University, School of Medicine, Cheongju, Korea
Correspondence:  Hee Bok Chae,
Email: hbchae@chungbuk.ac.kr
Copyright ©2009 by The Korean Liver Cancer Association
Abstract
A 59-year-old male patient visited ER complaining of persistent pain in his right upper quadrant abdomen. He had suffered from end stage renal disease secondary to long-term hypertension and had been under the maintenance hemodialysis for 13 years. Half a month ago, he recognized a mass at his epigastric area. He did not have any history of liver disease in his lifetime. Physical exams revealed that he had a tender and hard mass on his right upper quadrant and epigastric area. Total bilirubin was 0.6 mg/dL, AST/ALT was 59/75 IU/L, and AFP was 105,740 ng/mL. Computed tomography showed the huge liver mass in the left lobe and its size was estimated about 16cm. The regional lymph node was also found in the porta hepatis area. He received complete resection of the hepatoma and was discharged. We concerned about high probability of recurrence because of the pre-operative AFP level and vascular invasion in the pathologic specimen.
Key Words: Massive hepatocellular carcinoma; Resection; Vascular invasion
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