Maeda Takeharu, Ohchi Tetsufumi, Doi Koichi, Ogata Kenichi, Suzuki Shunji
Dept. of Surgery, Miyazaki Prefectural Nobeoka Hospital.
Gan To Kagaku Ryoho. 2008 Nov;35(12):2207-9.
A 73-year-old woman was diagnosed with solitary hepatocellular carcinoma (18 cm in diameter) in the right lobe. Right hepatic lobectomy was performed in March 2004. Solitary pulmonary metastasis in the left lung was detected by CT scan in April 2006. Thoracoscopic resection of pulmonary metastasis was performed. But in February 2007, solitary pulmonary metastasis in the right lung was detected by CT again. Second thoracoscopic pulmonary resection was performed. Fifty-one months after the initial surgery, she is alive without recurrence in the lung. In patients with pulmonary metastasis of hepatocellular carcinoma, if recurrence in the remnant liver is well controlled and pulmonary metastasis is completely resectable, repeated resections of pulmonary metastasis can be an effective treatment and improve survival.
一名73岁女性被诊断为右叶孤立性肝细胞癌（直径18厘米）。2004年3月行右肝叶切除术。2006年4月CT扫描发现左肺孤立性肺转移。行胸腔镜下肺转移瘤切除术。但2007年2月CT再次发现右肺孤立性肺转移。再次行胸腔镜下肺切除术。初次手术后51个月，她存活且肺部无复发。对于肝细胞癌肺转移患者，如果残余肝内复发得到良好控制且肺转移可完全切除，重复切除肺转移瘤可作为一种有效的治疗方法并提高生存率。
