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간세포암의 근치적 치료 후 발생한 단독 뼈 전이에 대해 다학제적 치료로 완전반응을 얻은 1예
황세원 ( Sea Won Hwang ),양현 ( Hyun Yang ),이해림 ( Hae Lim Lee ),장정원 ( Jeong Won Jang ),배시현 ( Si Hyun Bae ),최종영 ( Jong Young Choi ),윤승규 ( Seung Kew Yoon ) 대한간암학회 2016 대한간암학회지 Vol.16 No.1
Despite recent advances in the treatment of hepatocellular carcinoma (HCC), the prognosis of patients with extrahepatic metastasis from HCC still remains dismal. The current study presents a case of HCC that was metastatic to the pelvis and describes successful treatment with multidisciplinary approach to the skeletal metastasis. The patient was a 67-year-old male who presented with right pelvic pain 28 months following right hepatectomy for HCC. Computed tomography and magnetic resonance imaging indicated a solitary bone metastasis without intrahepatic recurrence. Complete response was achieved with multidisciplinary management including sorafenib, transarterial embolization, surgery to remove the metastatic mass and radiotherapy after surgery. A post-operative follow-up 15 months later found that the patient remained in good health with maintained complete response. This case suggests that a multidisciplinary approach can achieve long-term cancer-free survival and prolonged life expectancy beyond palliative care for patients with solitary bone metastasis after curative surgery for HCC. (J Liver Cancer 2016;16:52-56)
원발병소불명암 형태로 내원한 경추 및 골반뼈에 전이된 간세포암종
황세원 ( Sea Won Hwang ),이지은 ( Ji Eun Lee ),이정민 ( Jung Min Lee ),홍숙희 ( Sook Hee Hong ),이명아 ( Myung Ah Lee ),전후근 ( Hoo Geun Chun ),천호종 ( Ho Jong Chun ),이성학 ( Sung Hak Lee ),정은선 ( Eun Sun Jung ) 대한소화기학회 2015 대한소화기학회지 Vol.66 No.1
The occurrence of hepatocellular carcinoma (HCC) is closely associated with viral hepatitis or alcoholic hepatitis. Although active surveillance is ongoing in Korea, advanced or metastatic HCC is found at initial presentation in many patients. Metastatic HCC presents with a hypervascular intrahepatic tumor and extrahepatic lesions such as lung or lymph node metastases. Cases of HCC presenting as carcinoma of unknown primary have been rarely reported. The authors experienced a case of metastatic HCC in a patient who presented with a metastatic bone lesion but no primary intrahepatic tumor. This case suggests that HCC should be considered as a differential diagnosis when evaluating the primary origin of metastatic carcinoma. (Korean J Gastroenterol 2015;66:50-54)