J Liver Cancer.  2015 Sep;15(2):122-125. 10.0000/jlc.2015.15.2.122.

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

• Park KW
• Kim YS
• Kim SG
• Jeong SW
• Jang JY
• Kim HS
• Lee SH
• Kim BS
• Jeong JC
• Lee MH
• Lee JM
• Kim HK

• KMID: 2198543
• DOI: http://doi.org/10.0000/jlc.2015.15.2.122

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.

Keyword

Hepatocelluar carcinoma; Chemoembolization; Resection; Recurrence

MeSH Terms

Carcinoma, Hepatocellular*
Doxorubicin
Ethiodized Oil
Follow-Up Studies
Gelatin Sponge, Absorbable
Hepatic Artery
Humans
Injections, Intra-Arterial
Liver
Liver Transplantation
Middle Aged
Neoplasm Metastasis
Recurrence*
Doxorubicin
Ethiodized Oil