A Case of Hepatoblastoma with Early-phase Lung Metastasis

  • SUGITO,Kiminobu
    Department of Pediatric Surgery, Nihon University School of Medicine
  • HOSHI,Reina
    Department of Pediatric Surgery, Nihon University School of Medicine
  • HANADA,Manabu
    Department of Pediatric Surgery, Nihon University School of Medicine
  • YOSHIZAWA,Shinsuke
    Department of Pediatric Surgery, Nihon University School of Medicine
  • UEKUSA,Shota
    Department of Pediatric Surgery, Nihon University School of Medicine
  • KAWASHIMA,Hiroyuki
    Department of Pediatric Surgery, Nihon University School of Medicine
  • FURUYA,Takeshi
    Department of Pediatric Surgery, Nihon University School of Medicine
  • OHASHI,Kensuke
    Department of Pediatric Surgery, Nihon University School of Medicine
  • INOUE,Mikiya
    Department of Pediatric Surgery, Nihon University School of Medicine
  • IKEDA,Taro
    Department of Pediatric Surgery, Nihon University School of Medicine
  • KOSHINAGA,Tsugumichi
    Department of Pediatric Surgery, Nihon University School of Medicine
  • KUSAFUKA,Takeshi
    Department of Pediatric Surgery, Nihon University School of Medicine
  • RYO,Naohiro
    Department of Pediatrics, Nihon University School of Medicine
  • YAGASAKI,Hiroshi
    Department of Pediatrics, Nihon University School of Medicine
  • SHICHINO,Hiroyuki
    Department of Pediatrics, Nihon University School of Medicine
  • CHIN,Motoaki
    Department of Pediatrics, Nihon University School of Medicine
  • MUGISHIMA,Hideo
    Department of Pediatrics, Nihon University School of Medicine

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Other Title
  • 完全寛解後に緩徐な血清AFP値の上昇に伴って再発肺転移を認めた肝芽腫の1例

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We experienced a case of a 5-year-old boy with lung metastasis over 5 months of remission after primary treatment for hepatoblastoma (PRETEXT III, stage II). The recurrent lung tumor grew slowly with a slow serum AFP elevation. At first, we select the effective chemotherapy for post-operative chemotherapy watching the serum AFP level and the lung lesions. Secondly, the lung metastatic lesion was resected completely with thoracoscopy. Thirdly, the patient was treated post-operatively with two courses of effective chemotherapy. There were no recurrences after the surgical resection of the lung metastasis for one year.

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