書誌事項
- タイトル別名
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- A Case of Peritoneal Dissemination of Hepatocellular Carcinoma after Repeated Medical Therapies and Partial Hepatectomy.
- クリカエス ナイカテキ チリョウ ト ゲカ セツジョゴ ニ フクマク ハシュ オ ショウジタ カン サイボウ ガン ノ 1レイ
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A 57-year-old man had been followed up for hepatocellular carcinoma in S2 and S6 since May 2001. He had received several sessions of radiofrequency ablation(RFA)and transcatheter arterial chemoembolization(TACE)till 2009. He underwent S6 partial hepatectomy for hepatocellular carcinoma in January 2010. When seen for right lower abdominal pain in December 2010, abdominal CT revealed a tumor 10 cm in diameter in the ileocecal region. We suspected abdominal recurrence of hepatocellular carcinoma because of a rise in the PIVKA-Ⅱ level, and performed extirpation of the tumor with appendectomy. Although macroscopically the tumor adhered to the posterior wall of the ileocecal region, histopathologically the wall of the appendix was intact. Six months later there was a subsequent episode of ileus, and abdominal CT revealed a new tumor measuring 7.5 cm on the lateral side of the descending colon. As enhanced CT in the arterial early phase also revealed several nodules, we diagnosed extensive dissemination of hepatocellular carcinoma. We report this rare case of peritoneal dissemination of hepatocellular carcinoma after repeated RFA/TACE treatment and partial hepatectomy along with a review of the literature.
収録刊行物
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- 山口医学
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山口医学 61 (3), 99-105, 2012
山口大学医学会
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詳細情報 詳細情報について
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- CRID
- 1390282679813164800
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- NII論文ID
- 130004476007
- 120005246283
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- ISSN
- 18804462
- 05131731
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- IRDB
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可