A surgical case of splenic metastasis from hepatocellular carcinoma

Suzumura Kazuhiro, Iimuro Yuji, Kuroda Nobukazu, Hirano Tadamichi, Okada Toshihiro, Asano Yasukane, Tanaka Shogo, Hai Seikan, Tsujimura Tohru, Torii Ikuko, Fujimoto Jiro

doi:10.2957/kanzo.54.499

The case pertains to a 58-year-old man. Following hemostasis for a ruptured hepatocellular carcinoma (HCC) by transcatheter arterial embolization, a right hepatectomy was carried out in April, 2006. Subsequently, increased AFP and PIVKA-II as well as an intrahepatic neoplastic lesion and intrasplenic neoplastic lesion were observed, resulting in the patient being admitted to our hospital for the purpose of closer inspection and medical treatment. He was preoperatively diagnosed to have recurring HCC and liver spleen metastasis, and therefore partial hepatectomy as well as splenectomy were conducted in February, 2010. The patient was diagnosed with recurring HCC and liver spleen metastasis upon histopathological investigation. Lung metastasis, left adrenal gland metastasis, and liver metastasis to the remaining liver were generated following surgery. Partial pneumonectomy was conducted for his lung metastasis, resection of the left adrenal gland was conducted for his left adrenal gland metastasis, and hepatectomy as well as transcatheter arterial embolization were conducted for liver metastasis of his remaining liver; currently, approximately 3 years following the surgeries for spleen metastasis, the patient visits the hospital as an outpatient. Regarding spleen metastasis of HCC, it was believed that a longer term prognosis may thus be achieved by investigating whether or not there are lesions in other organs and then carrying out splenectomy if the disease is controllable.<br>

A surgical case of splenic metastasis from hepatocellular carcinoma

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