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Journal of the Korean Liver Cancer Study 2009;9(1):71-75.
Published online June 30, 2009.
A Case of Hepatocellular Carcinoma in Young Age Younger than 20 Years Old
Joo Won Chung1, Seung Up Kim1, Jun Yong Park1,5, Sang Hoon Ahn1,5, Kwang-Hyub Han1,5, Chae Yoon Chon1,5, Geung-kyu Ko2,5, Jin Sil Seong3,5, Jong Hee Chang4, Do Young Kim1,5
1Departments of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
2Departments of Radiology, Yonsei University College of Medicine, Seoul, Korea
3Departments of Radiation Oncology, Yonsei University College of Medicine, Seoul, Korea
4Departments of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea
5Liver Cancer Special Clinic, Yonsei University College of Medicine, Seoul, Korea
Correspondence:  Do Young Kim,
Email: dyk1025@yuhs.ac
Copyright ©2009 by The Korean Liver Cancer Association
Abstract
Hepatocellular carcinoma (HCC) is very rare in young age. Most young patients tend to receive the evaluation only when they experience intractable or persistent symptoms. Therefore, HCC in young patients is often diagnosed at advanced stage and thus, young HCC patients have a worse prognosis than older HCC. However, because young HCC patients show well-preserved liver function than older HCC, they are tolerable to more aggressive treatments. We report a case of advanced HCC in 13-year and 8-month old male who has been a B-viral carrier. Despite the tumor size decreased after concurrent chemoradiation therapy, multiple lung and brain metastases developed. He underwent radiofrequency ablations on lung metastases and gamma-knife surgery on brain metastasis, and he has received systemic and intra-arterial chemotherapy. The screening and early diagnosis of HCC in young age is needed especially for B-viral carrier with a family history of HCC.
Key Words: Hepatocellular carcinoma; Young age
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