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Journal of the Korean Liver Cancer Study 2002;2(1):76-79.
Published online July 31, 2002.
Sarcomatoid Hepatocellular Carcinoma
Jin Sub Choi1, Kyung Sik Kim1, Yong Nyun Park2, Woo Jung Lee1, Jae Yoon Chon3, Jong Tae Lee4, Byong Ro Kim1
1Department of Surgery, Yonsei University College of Medicine
2Department of Pathology, Yonsei University College of Medicine
3Department of Internal Medical, Yonsei University College of Medicine
4Department of Diagnostic Radiology, Yonsei University College of Medicine
Correspondence:  Kyung Sik Kim,
Email: kskim88@yumc.yonsei.ac.kr
Copyright ©2002 by The Korean Liver Cancer Association
Abstract
A 64-year-old male was admitted due to liver mass. He had radical prostatectomy owing to prostate cancer 5 years ago. At that time, the liver mass was found on the right posterior superior segment and had enlarged to 7 cm in diameter at Nov. 2001. The transhepatic chemoembolization with adriamycin 50 mg and gelform was performed but the viable portions of tumor were remained. Total bilirubin was 0.7 mg/dL, Albumin 2.9 g/dL, AST/ALT 24/18 IU/L and AFP 60.31 ng/mL. The ICG R15 was 6.2%. The right lobectomy of liver was done and the pathologic results were sarcomatoid hepatocellular carcinoma. The level of AFP was decreased 2 month after operation but the patient was dead 4 month after operation because of the metastasis to the right psoas muscle and suspected peritoneal seeding.
Key Words: Sarcomatoid hepatocellular carcinoma; Spindle cell hepatocellular carcinoma; Hepatectomy; Metastasis; Prognosis
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