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Journal of the Korean Liver Cancer Study Group 2001;1(1):122-126.
Published online June 30, 2001.
A Case of Hepatocellular Carcinoma with Lung Metastasis Treated with Transarterial Chemoembolization
Gab Jin Cheon, Yun Soo Kim, Joon Seong Jung, Young Seok Kim, Jong Ho Moon, Young Deok Cho, Moon Sung Lee, Chan Sup Shim, Boo Sung Kim
Institute for Digestive Research, Department of Internal Medicine College of Medicine Soon Chun Hyang University
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.
Key Words: Lung metastasis; Hepaticellular carcinoma
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