Long-term survival of patients with hepatocellular carcinoma with hepatic,pulmonary,peritoneal and rare colon metastasis:A case report  

作　　者：Yong-Qiang Gong Tai-Liang Lu Chao-Wu Chen 

机构地区：[1]Department of Gastrointestinal Surgery,Hunan Provincial People’s Hospital,The First Affiliated Hospital of Hunan Normal University,Changsha 410005,Hunan Province,China [2]Department of Gastrointestinal Surgery,Hunan Provincial People’s Hospital,Changsha 410005,Hunan Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2023年第8期1819-1824,共6页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND Hepatocellular carcinoma(HCC)is a highly malignant cancer that often metastasizes and has a poor prognosis.Gastrointestinal tract metastases are rare,and colon metastases are even rarer.The long-term survival of patients with multiple intrahepatic and extrahepatic metastases,especially to the colon,has not been previously reported.CASE SUMMARY We present an atypical clinical case of a patient with liver,right lung,peritoneal,and colon metastases diagnosed successively following hepatic resection for primary HCC.Comprehensive treatment,including partial liver,lung and colon resection,palliative management such as systemic chemotherapy,trans-arterial chemoembolization,targeted therapy with sorafenib,and cryotherapy were attempted.Despite his early metastases,the patient remained relatively healthy for 8 years after diagnosis.CONCLUSION This case indicates that comprehensive treatment is beneficial for certain patients with metastatic HCC.Clinicians should be alert as to the possibility of rare site metastatic tumors that may be easily misdiagnosed as primary tumors.

关 键 词：Hepatocellular carcinoma Multiple metastasis Rare colon metastasis Comprehensive treatments Long-term survival Case report 

分 类 号：R735.7[医药卫生—肿瘤]