Abstract

A 54 year-old male patient was transferred from pulmonologic division to evaluate hepatic mass incidentally found on chest CT scan. Thirteen years ago, he had been diagnosed as a hepatitis B virus carrier. HBs Ag was positive, and AFP was 118.09 ng/ml. On admission, Chest PA showed multiple variable sized nodular opacities in both lungs. Ill defined inhomogeneous enhanced mass was found at liver dome with multiple metastatic lesions on chest CT scan. Hepatic angiogram showed multiple, abnormal tumor staining on liver dome and nearly entire hepatic segments. After the 2nd TACE using mytomycin C, lipiodol and gelform, previously noted hematogeneous metastatic nodules in both lungs disappeared and volume of liver mass was decreased dramatically and AFP was normalized.

• Keywords: Lung metastasis;Hepaticellular carcinoma