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괴상형 간세포암 : 수술적으로 절제한 괴상형 간세포암종 증례

A Case of Massive HCC Treated with Surgical Resection

대한간암연구학회지 2009년 9권 1호 p.59 ~ 62
이신영, 류동희, 배일헌, 성로현, 채복희,
소속 상세정보
이신영 ( Lee Shin-Young ) - 충북대학교병원 내과
류동희 ( Ryu Dong-Hee ) - Chungbuk National University
배일헌 ( Bae Il-Hun ) - Chungbuk National University
성로현 ( Sung Ro-Hyun ) - Chungbuk National University
채복희 ( Chae Bok-Hee ) - 충북대학교병원 내과

Abstract


A 59-year-old male patient visited ER complaining of persistent pain in his right upper quadrant abdomen. He had suffered from end stage renal disease secondary to long-term hypertension and had been under the maintenance hemodialysis for 13 years. Half a month ago, he recognized a mass at his epigastric area. He did not have any history of liver disease in his lifetime. Physical exams revealed that he had a tender and hard mass on his right upper quadrant and epigastric area. Total bilirubin was 0.6 mg/dL, AST/ALT was 59/75 IU/L, and AFP was 105,740 ng/mL. Computed tomography showed the huge liver mass in the left lobe and its size was estimated about 16cm. The regional lymph node was also found in the porta hepatis area. He received complete resection of the hepatoma and was discharged. We concerned about high probability of recurrence because of the pre-operative AFP level and vascular invasion in the pathologic specimen.

키워드

Massive hepatocellular carcinoma;Resection;Vascular invasion

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