肝細胞癌切除後の異時性肺転移に対して3回の肺切除を施行し，長期生存している1例

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  • Long-term survival after hepatic resection and three pulmonary resections for metastatic hepatocellular carcinoma

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A 57-year-old male was diagnosed with bilateral pulmonary metastatic nodules three years after right hepatic resection for hepatocellular carcinoma. One was located at the anterior basal segment (S8) of the right lower lobe, and the other was at the lateral basal segment (S9) of the left lower lobe. Right lower lobectomy was performed three years after hepatic resection, and partial resection of the left lower lobe was carried out four years after hepatic resection. Twelve years after hepatic resection, partial resection of the right upper lobe was performed for solitary pulmonary metastasis. Long-term survival is extremely rare after pulmonary resections for metastases from hepatocellular carcinoma without intrahepatic recurrence or other distant metastases.

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