J Liver Cancer Search


Journal of the Korean Liver Cancer Study Group 2009;9(1):86-89.
Published online June 30, 2009.
A Case of Hepatocellular Carcinoma with Rib Metastasis in a Young Patient in Twenties
Seung Young Kim1, Hyung Joon Yim1, Jae Hong Ahn1, Sung Woo Jung1, Jeong Han Kim1, Ji Hoon Kim1, Ju-Han Lee2, Seung Hwa Lee3, Hwan Hoon Chung3, jong Eun Yeon1, Hong Sik Lee1, Sang Woo Lee1, Kwan Soo Byun1, Jai Hyun Choi1
1Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
2Department of Pathology, Korea University College of Medicine, Seoul, Korea
3Department of Radiology, Korea University College of Medicine, Seoul, Korea
Correspondence:  Hyung Joon Yim,
Email: gudwns21@medimail.co.kr
Helatocellular carcinoma (HCC) is uncommon in young adults, and young HCC patients is known to show poor prognosis than older HCC patients because they have a more advanced tumor stage at diagnosis. We describe a case of HCC in a 28-year old chronic hepatitis B virus carrier who showed multiple nodular HCC with bone metastasis at diagnosis. In spite of multidisciplinary treatment including transarterial chemoembolization (TACE) for liver mass and radiotherapy for metastatic bone lesion, the patient died of cancer progression and weakened general condition 15 months after diagnosis. Therefore, we need to consider periodic surveillance in young chronic hepatitis B virus carriers.
Key Words: Hepatocellular carcinoma; Young; Bone metastasis

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