Yabe Nobushige, Murai Shinji, Akatsu Tomotaka, Inoue Yoshitaka, Shoji Takahiro, Amemiya Tetsu, Kitagawa Yuko
Department of Surgery, Ogikubo Hospital, Keio University School of Medicine.
Gan To Kagaku Ryoho. 2009 Nov;36(12):2099-101.
A 58-year-old female was admitted to Ogikubo Hospital for advanced hepatocellular carcinoma in April 2007. Pathological examination showed moderately differentiated hepatocellular carcinoma. Tumor marker increased the PIVKA-II level became 129 mAU/mL after the operation. FDG-PET was showed a solitary pelvic tumor sized about 2.5 cm in diameter. No other prominent metastatic lesions were demonstrated, so that a resection of intrapelvic tumor was performed in May 2008. The report which exhibited an asynchronism recurrence of peritoneal dissemination after hepatectomy is very rare. She has survived without a recurrence more than 13 months after the resection.