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증례 : 소화기 ; 간세포암 완치 절제 4년 후 자궁에만 국소적으로 재발한 간세포암 1예
이상진 ( Sang Jin Lee ),신정우 ( Jung Woo Shin ),박능화 ( Neung Hwa Park ),나양원 ( Yang Won Nah ),유항조 ( Hang Jo Yoo ),정융기 ( Yoong Ki Jung ),최혜정 ( Hye Jeong Choi ) 대한내과학회 2012 대한내과학회지 Vol.82 No.5
Extrahepatic metastasis of hepatocellular carcinoma (HCC) can be found in various organs, but metastasis to the female genital tract is extremely rare. A 48-year-old woman who had undergone curative left lobectomy for small HCC 4 years earlier was admitted because of sequential alpha-fetoprotein elevation. Upon abdominal MRI and hepatic angiography, no evidence of HCC recurrence was found in the remnant liver. However, a positron emission tomography CT scan showed a hypermetabolic lesion in the uterine fundus, which was revealed as metastatic HCC after total hysterectomy. This is, to our knowledge, the first documented case of metastatic uterine tumor that originated from HCC without intrahepatic recurrence. (Korean J Med 2012;82:603-608)