[A case of hepatocellular carcinoma with survival of more than 7 years after extended right lobectomy].

A 48-year-old male was referred to our hospital because of a space occupying lesion that had been revealed by hepatic scintigraphy, which had been seen because of an evaluation of his serum alpha-fetoprotein level while under therapy for chronic hepatitis. Laboratory data revealed an impaired liver function and a hepatic angiography showed a hypervascular tumor of the right hepatic branch. An extended right lobectomy was performed. Postoperatively, this case was histologically diagnosed as hepatocellular carcinoma. Despite having had an intraportal tumor thrombus, the patient survived for 7 years and 3 months and died of a cancer recurrence with hepatic failure. In this case surgical resection proved very useful for survival over a long period.