Successful Surgical Treatment of Metachronous Oligometastases from Non-B, Non-C Hepatocellular Carcinoma  

作　　者：Haruchika Yamamoto Yuji Hirami Tomohiro Toji Yoko Shinno Tetsuya Ota Minoru Naito Akio Andou Haruchika Yamamoto;Yuji Hirami;Tomohiro Toji;Yoko Shinno;Tetsuya Ota;Minoru Naito;Akio Andou(Department of General Thoracic Surgery, National Hospital Organization Okayama Medical Center, Okayama, Japan;Department of Pathology, National Hospital Organization Okayama Medical Center, Okayama, Japan;Department of General and Gastroenterological Surgery, National Hospital Organization Okayama Medical Center, Okayama, Japan)

机构地区：[1]Department of General Thoracic Surgery, National Hospital Organization Okayama Medical Center, Okayama, Japan [2]Department of Pathology, National Hospital Organization Okayama Medical Center, Okayama, Japan [3]Department of General and Gastroenterological Surgery, National Hospital Organization Okayama Medical Center, Okayama, Japan

出　　处：《Open Journal of Thoracic Surgery》2016年第2期7-11,共5页胸外科期刊（英文）

摘　　要：Hepatocellular Carcinoma (HCC) rarely metastasizes to bone or mediastinum. In some patients, surgical treatment of oligometastatic lesions from colorectal cancer, breast cancer, or non-small cell lung cancer results in satisfactory survival. However, data concerning oligometastatic lesions from HCC are scarce. We report the case of a patient with long-term survival after resection of metachronous oligometastases of HCC. A 54-year-old woman underwent hepatic resection for non-B, non-C HCC. A solitary left tenth rib tumor was detected 20 months after initial surgery and was surgically resected. A solitary mediastinal tumor was detected 6 months after the second operation and the patient again underwent surgical resection. Histopathological examination of both lesions confirmed metastasis of HCC. The patient has had no further recurrence 7 years after initial surgery without chemotherapy or radiotherapy.Hepatocellular Carcinoma (HCC) rarely metastasizes to bone or mediastinum. In some patients, surgical treatment of oligometastatic lesions from colorectal cancer, breast cancer, or non-small cell lung cancer results in satisfactory survival. However, data concerning oligometastatic lesions from HCC are scarce. We report the case of a patient with long-term survival after resection of metachronous oligometastases of HCC. A 54-year-old woman underwent hepatic resection for non-B, non-C HCC. A solitary left tenth rib tumor was detected 20 months after initial surgery and was surgically resected. A solitary mediastinal tumor was detected 6 months after the second operation and the patient again underwent surgical resection. Histopathological examination of both lesions confirmed metastasis of HCC. The patient has had no further recurrence 7 years after initial surgery without chemotherapy or radiotherapy.

关 键 词：Hepatocellular Carcinoma Mediastinal Metastases Rib Metastases OLIGOMETASTASES 

分 类 号：R73[医药卫生—肿瘤]