Repeated resection of hepatocellular carcinoma and its recurrences and removal of pulmonary metastases
Gasztonyi, B.; Pár, A.; Molnár, F.T.; Cseke, L.; Horváth, O.P.; Battyány, I.; Hegedüs, G.; Horváth, L.; Mózsik, G.
Orvosi Hetilap 139(34): 2025-2027
1998
ISSN/ISBN: 0030-6002 PMID: 9745308 Document Number: 495659
A case of a 67 year old male successfully treated local recurrence of previously radically resected hepatocellular carcinoma with distant metastases of the lung is reported. Two years after a complete removal of the primary liver malignoma a local recurrence was resected which was followed by selective intraarterial cytostatic treatment and chemoembolisation. A three-year disease-free interval was achieved, then recurrence in the liver and lung metastases were detected at the regular check-up. All of the malignant focuses were eliminated by parenchyma sparing surgical resections, then a postoperative adjuvant chemotherapy (FAM scheme) has been followed. After eight months the patient remained symptom-free. The long-term survival seems to justify the aggressive approach of this kind of malignancies.