Department of Digestive Surgery, Nihon University School of Medicine, 30-1 Oyaguchikami-machi, Itabashi-ku, Tokyo 173-8610, Japan.
Anticancer Res. 2011 Nov;31(11):3991-3.
A 74-year-old female was found to have a 40-mm liver tumor (in segment VIII) by ultrasonography and was diagnosed with hepatocellular carcinoma (HCC). She underwent liver resection and was stably treated without recurrence for 19 months. A 45-mm extrahepatic tumor was then found during follow-up with enhanced computed tomography and was diagnosed as being a metachronous lymph node (LN) metastasis. Angiography revealed that the metastasis LN was fed by both the right and left gastric arteries. Transarterial chemotherapy with cisplatin was scheduled to control LN metastasis and to prevent intrahepatic metastasis, simultaneously. Blood alteration using coil embolization was performed to isolate the feeding arteries before transarterial chemotherapy with cisplatin powder. The patient was stably treated for 6 months (3 times) and no new intra- or extrahepatic metastatic lesions appeared during the chemotherapy. The patient subsequently underwent systematic LN dissection of the porta hepatis. She was successfully treated, and has remained recurrence-free for almost 5 years.
一位 74 岁女性因超声检查发现肝脏 40mm 肿瘤（VIII 段）而被诊断为肝细胞癌（HCC）。她接受了肝切除术，19 个月来无复发，病情稳定。在后续的增强 CT 检查中发现一个 45mm 的肝外肿瘤，被诊断为同时性淋巴结（LN）转移。血管造影显示转移的 LN 由胃左动脉和胃右动脉共同供血。为了控制 LN 转移并预防肝内转移，计划进行顺铂经动脉化疗。在使用顺铂粉末进行经动脉化疗之前，使用线圈栓塞进行血液改变以隔离供血动脉。该患者接受了 6 个月（3 次）的稳定治疗（3 次），在化疗期间没有出现新的肝内或肝外转移病灶。随后，该患者接受了系统性肝门淋巴结清扫术。她成功地接受了治疗，近 5 年来一直没有复发。
