A Case of Management for Early Recurrence after Hepatic Resection for the Treatment of Small Hepatocellular Carcinoma

Park, Kyung Woo; Kim, Young Seok; Kim, Sang Gyune; Jeong, Soung Won; Jang, Jae Young; Kim, Hong Soo; Lee, Sae Hwan; Kim, Boo Sung; Jeong, Jun Cheol; Lee, Min Hee; Lee, Jae Myeong; Kim, Hee Kyung

doi:2015.15.2.122

J Liver Cancer > Volume 15(2); 2015 > Article

Case Report

Journal of Liver Cancer 2015;15(2):122-125.
DOI: https://doi.org/10.17998/jlc.15.2.122 Published online September 30, 2015.

A Case of Management for Early Recurrence after Hepatic Resection for the Treatment of Small Hepatocellular Carcinoma

Kyung Woo Park¹, Young Seok Kim¹, Sang Gyune Kim¹, Soung Won Jeong¹, Jae Young Jang¹, Hong Soo Kim¹, Sae Hwan Lee¹, Boo Sung Kim¹, Jun Cheol Jeong², Min Hee Lee³, Jae Myeong Lee³, Hee Kyung Kim⁴

¹Digestive Disease Center, Department of Gastroenterology Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
²Department of Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
³Department of Radiology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea
⁴Department of Pathology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea

Correspondence: Young Seok Kim,
Email: liverkys@schmc.ac.kr

Abstract

For a small hepatocellular carcinoma (HCC), liver resection shows most favorable outcome in case which liver transplantation is not available, although it has also substantial recurrence rate. Here, we report a case of recurred HCC with multiple intrahepatic metastasis at 5 months after surgical resection for small HCC was done. A 55-year-old man with chronic HBV infection received subsegmentectomy for HCC less than 2 cm. A follow-up computed tomography (CT) at 5 months from operation revealed that there were multiple enhancing nodules in entire remnant liver. Intra-arterial injections of adriamycin mixed lipiodol and gelfoam particles were instituted through hepatic artery. We assume that poorly differentiated cellular feature would be attributable to this kind of very early and aggressive recurrence of HCC. (J Liver Cancer 2015;15:122-125)

Key Words: Hepatocelluar carcinoma; Chemoembolization; Resection; Recurrence

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