Long-term Survival of a Patient of Hepatocellular Carcinoma after Resection of Bilateral Multiple Pulmonary Metastases

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  • 肝細胞癌の両側多発肺転移切除後に長期無再発生存が得られた１例

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Abstract

<p>A 50-year-old woman with hepatocellular carcinoma (HCC) in segment 6 and 3 of the liver with underlying hepatitis B underwent hepatic resection．Six months after the hepatic resection，intrahepatic recurrence was detected in segment 7, and repeat hepatic resection was performed．Six months after the second hepatic resection，multiple nodules were detected in the lungs bilaterally．The nodules were suspected to be metastases from the HCC, and the patient was initiated on systemic chemotherapy with oral Tegafur-Uracil (UFT)．A review performed 6 months after the start of chemotherapy showed that none of the lung nodules had increased in size and that no new lesions had emerged in the liver．Therefore，pulmonary resection was performed．At present, 92 months after the pulmonary resection，the patient is doing well, with no evidence of recurrence．We encountered a case of hepatocellular carcinoma that showed long-term survival after multidisciplinary treatment，including pulmonary resection，for multiple bilateral pulmonary metastasis from HCC.</p>

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