Successful Surgical Treatment of Pulmonary Metastasis of Hepatocellular Carcinoma after Hepatic Surgery. Report of Three Cases.

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  • 肝細胞癌術後肺転移例に対し外科治療が奏効した3例

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Abstract

Patient 1, a 61-year-old man, who had undergone a left lobectomy of liver followed by ethanol local injection therapy for hepatocellular carcinoma (HCC) involving from S3 to S4 and S8 in October 1994, experienced bilateral multiple pulmonary metastases in April 1996. Chemotherapy using a venous reservoir catheter resulted in disappearance of the right pulmonary metastatic foci and a shrinkage of the left pulmonary foci. And then a left partial pneumonectomy was successfully performed.<br> Patient 2, a 57-year-old woman, who had undergone a right lobectomy of the liver for HCC (S8) in April 1988, was found having solitary metastasis of the left lung and a tumorous lesion in the liver (S2) in February 1999. These lesions were diagnosed as pulmonary metastasis and intrahepatic recurrence, respectively. In August of the year, a lateral partial segmentectomy of liver and a left upper partial lobectomy of lung were successfully performed.<br> Patient 3, a 20-year-old woman, who had undergone an extended right lobectomy of liver for HCC in October 1988, was found having a solitary metastasis of the right lung in June 1992. A right partial excision of lung was successfully performed in August of the year. All these patients have been alive and free from recurrence up to now.<br> This paper deals with aggressive surgical treatments for pulmonary metastasis of HCC after hepatic surgery, with favorable prognosis.

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