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J Liver Cancer > Volume 15(2); 2015 > Article
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
Copyright ©2015 by The Korean Liver Cancer Association
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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