Mima Kosuke, Masuda Toshiro, Beppu Toru, Horino Kei, Komori Hiroyuki, Imsung Choi, Hayashi Hiromitsu, Okabe Hiroyuki, Takamori Hiroshi, Baba Hideo
Dept. of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University.
Gan To Kagaku Ryoho. 2008 Nov;35(12):2096-8.
We report a long-term survival case of hepatocellular carcinoma with lymph node metastases treated with surgery and radiotherapy. A 71-year-old man was admitted to our department at Kumamoto University Hospital in May 2003 for a treatment of local recurrent HCC after transarterial chemoembolization. CT showed an infiltrative type tumor, 2.5 cm in diameter, in the segment 8 of the liver. We treated the liver tumor with a right paramedian sectionectomy in May 2003. Postoperatively, lymph node metastases and recurrent HCC were diagnosed. Three times of local ablation therapies for recurrent HCC, twice lymph node dissections, and twice radiotherapies for lymph node metastases were successfully achieved. The patient survived without recurrence for 60 months after the initial hepatectomy.
我们报告了一例接受手术和放疗治疗的伴有淋巴结转移的肝细胞癌长期生存病例。一名71岁男性于2003年5月因经动脉化疗栓塞术后局部复发性肝癌入住熊本大学医院我们科室。CT显示肝脏第8段有一个直径2.5厘米的浸润型肿瘤。我们于2003年5月对肝脏肿瘤进行了右旁正中肝段切除术。术后，诊断出有淋巴结转移和复发性肝癌。成功地对复发性肝癌进行了三次局部消融治疗、两次淋巴结清扫以及对淋巴结转移进行了两次放疗。患者在初次肝切除术后存活且无复发达60个月。
