J Liver Cancer.  2018 Sep;18(2):162-167. 10.17998/jlc.18.2.162.

Complete Remission with Transarterial Chemoembolization in a Patient with Hepatocellular Carcinoma Who Showed Early Recurrence following Surgical Resection

Affiliations
  • 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea. cwkim@catholic.ac.kr
  • 2Department of Radiology, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.

Abstract

Although surgical resection is a curative treatment option for solitary hepatocellular carcinoma, high recurrence rate contributes to dismal long-term prognosis after curative resection. Early recurrence within 2 years after surgery is associated with intrahepatic metastasis of primary tumor. Liver regeneration after hepatic resection can accelerate tumorigenesis in remnant liver. Treatment strategies for intrahepatic recurrence after curative resection include salvage transplantation, repeated resection, local ablation, and transarterial chemoembolization (TACE). Here, we report a 51-year-old male who was presented with a single large tumor located at segment 4. The patient was initially treated with surgical resection, but intrahepatic recurrence occurred only 4 months after surgery. He achieved complete remission with repeated TACE and has survived without recurrence for 4 years so far.

Keyword

Carcinoma, Hepatocellular; Surgery; Recurrence; Transarterial chemoembolization
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