A case of simultaneous abdominal wall metastasis of hepatocellular carcinoma with long-term relapse-free survival after laparoscopic resection
We report our experience of an extremely rare case of a simultaneous extrahepatic metastasis of hepatocellular carcinoma (HCC) with long-term relapse-free survival, treated by laparoscopic resection of an abdominal wall tumor and subsequent radiofrequency ablation (RFA) of an intrahepatic lesion. A...
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| Veröffentlicht in: | International cancer conference journal 2021-07, Vol.10 (3), p.217-221 |
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| creator | Goto, Michitoshi Sakamoto, Kazuhiro Kawano, Shingo Munakata, Shinya Kawai, Masaya Ishiyama, Shun Sugimoto, Kiichi Takahashi, Makoto Kojima, Yutaka Tomita, Natsumi Saeki, Harumi Shiina, Shuichiro |
| description | We report our experience of an extremely rare case of a simultaneous extrahepatic metastasis of hepatocellular carcinoma (HCC) with long-term relapse-free survival, treated by laparoscopic resection of an abdominal wall tumor and subsequent radiofrequency ablation (RFA) of an intrahepatic lesion. A 76-year-old man visited a local clinic for right lower abdominal pain. He was treated with antibiotics and the symptom resolved. However, a mass was detected in the same region and he was referred to our hospital for further evaluation. Computed tomography (CT) of the abdomen showed a mass 5 cm in diameter, raising suspicions of an intra-abdominal tumor. Laparoscopic surgery was performed, and the tumor was found in the abdominal wall and completely resected. Histopathological examination yielded a diagnosis of extrahepatic HCC. Post-operative positron emission tomography (PET)-CT showed increased uptake of fluorodeoxyglucose in segment 3 (S3) of the liver. On performing a liver biopsy, HCC was diagnosed. Subsequently, the S3 lesion was treated with radiofrequency ablation. The patient has remained relapse-free for 6 years without further treatments. |
| doi_str_mv | 10.1007/s13691-021-00484-0 |
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A 76-year-old man visited a local clinic for right lower abdominal pain. He was treated with antibiotics and the symptom resolved. However, a mass was detected in the same region and he was referred to our hospital for further evaluation. Computed tomography (CT) of the abdomen showed a mass 5 cm in diameter, raising suspicions of an intra-abdominal tumor. Laparoscopic surgery was performed, and the tumor was found in the abdominal wall and completely resected. Histopathological examination yielded a diagnosis of extrahepatic HCC. Post-operative positron emission tomography (PET)-CT showed increased uptake of fluorodeoxyglucose in segment 3 (S3) of the liver. On performing a liver biopsy, HCC was diagnosed. Subsequently, the S3 lesion was treated with radiofrequency ablation. The patient has remained relapse-free for 6 years without further treatments.</description><identifier>ISSN: 2192-3183</identifier><identifier>EISSN: 2192-3183</identifier><identifier>DOI: 10.1007/s13691-021-00484-0</identifier><identifier>PMID: 34221835</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Abdomen ; Abdominal wall ; Ablation ; Antibiotics ; Antigens ; Biopsy ; Body fat ; Case Report ; Computed tomography ; Gallbladder ; Hepatitis ; Hepatocellular carcinoma ; Laparoscopy ; Liver ; Liver cancer ; Lymphatic system ; Magnetic resonance imaging ; Medical prognosis ; Medicine ; Medicine & Public Health ; Mesentery ; Metastases ; Metastasis ; Oncology ; Patients ; Positron emission tomography ; Small intestine ; Surgery ; Surgical Oncology ; Survival ; Tomography ; Tumors</subject><ispartof>International cancer conference journal, 2021-07, Vol.10 (3), p.217-221</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021. 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A 76-year-old man visited a local clinic for right lower abdominal pain. He was treated with antibiotics and the symptom resolved. However, a mass was detected in the same region and he was referred to our hospital for further evaluation. Computed tomography (CT) of the abdomen showed a mass 5 cm in diameter, raising suspicions of an intra-abdominal tumor. Laparoscopic surgery was performed, and the tumor was found in the abdominal wall and completely resected. Histopathological examination yielded a diagnosis of extrahepatic HCC. Post-operative positron emission tomography (PET)-CT showed increased uptake of fluorodeoxyglucose in segment 3 (S3) of the liver. On performing a liver biopsy, HCC was diagnosed. Subsequently, the S3 lesion was treated with radiofrequency ablation. The patient has remained relapse-free for 6 years without further treatments.</description><subject>Abdomen</subject><subject>Abdominal wall</subject><subject>Ablation</subject><subject>Antibiotics</subject><subject>Antigens</subject><subject>Biopsy</subject><subject>Body fat</subject><subject>Case Report</subject><subject>Computed tomography</subject><subject>Gallbladder</subject><subject>Hepatitis</subject><subject>Hepatocellular carcinoma</subject><subject>Laparoscopy</subject><subject>Liver</subject><subject>Liver cancer</subject><subject>Lymphatic system</subject><subject>Magnetic resonance imaging</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesentery</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Oncology</subject><subject>Patients</subject><subject>Positron emission tomography</subject><subject>Small intestine</subject><subject>Surgery</subject><subject>Surgical 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Shinya</au><au>Kawai, Masaya</au><au>Ishiyama, Shun</au><au>Sugimoto, Kiichi</au><au>Takahashi, Makoto</au><au>Kojima, Yutaka</au><au>Tomita, Natsumi</au><au>Saeki, Harumi</au><au>Shiina, Shuichiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of simultaneous abdominal wall metastasis of hepatocellular carcinoma with long-term relapse-free survival after laparoscopic resection</atitle><jtitle>International cancer conference journal</jtitle><stitle>Int Canc Conf J</stitle><date>2021-07-01</date><risdate>2021</risdate><volume>10</volume><issue>3</issue><spage>217</spage><epage>221</epage><pages>217-221</pages><issn>2192-3183</issn><eissn>2192-3183</eissn><abstract>We report our experience of an extremely rare case of a simultaneous extrahepatic metastasis of hepatocellular carcinoma (HCC) with long-term relapse-free survival, treated by laparoscopic resection of an abdominal wall tumor and subsequent radiofrequency ablation (RFA) of an intrahepatic lesion. A 76-year-old man visited a local clinic for right lower abdominal pain. He was treated with antibiotics and the symptom resolved. However, a mass was detected in the same region and he was referred to our hospital for further evaluation. Computed tomography (CT) of the abdomen showed a mass 5 cm in diameter, raising suspicions of an intra-abdominal tumor. Laparoscopic surgery was performed, and the tumor was found in the abdominal wall and completely resected. Histopathological examination yielded a diagnosis of extrahepatic HCC. Post-operative positron emission tomography (PET)-CT showed increased uptake of fluorodeoxyglucose in segment 3 (S3) of the liver. On performing a liver biopsy, HCC was diagnosed. Subsequently, the S3 lesion was treated with radiofrequency ablation. The patient has remained relapse-free for 6 years without further treatments.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>34221835</pmid><doi>10.1007/s13691-021-00484-0</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-4628-4320</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Abdominal wall Ablation Antibiotics Antigens Biopsy Body fat Case Report Computed tomography Gallbladder Hepatitis Hepatocellular carcinoma Laparoscopy Liver Liver cancer Lymphatic system Magnetic resonance imaging Medical prognosis Medicine Medicine & Public Health Mesentery Metastases Metastasis Oncology Patients Positron emission tomography Small intestine Surgery Surgical Oncology Survival Tomography Tumors |
| title | A case of simultaneous abdominal wall metastasis of hepatocellular carcinoma with long-term relapse-free survival after laparoscopic resection |
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