Gasztonyi B, Pár A, Molnár F T, Cseke L, Horváth O P, Battyány I, Hegedüs G, Horváth L, Mózsik G
Pécsi Orvostudományi Egyetem I., Belgyógyászati Klinika.
Orv Hetil. 1998 Aug 23;139(34):2025-7.
A case of a 67 year old male successfully treated local recurrence of previously radically resected hepatocellular carcinoma with distant metastases of the lung is reported. Two years after a complete removal of the primary liver malignoma a local recurrence was resected which was followed by selective intraarterial cytostatic treatment and chemoembolisation. A three-year disease-free interval was achieved, then recurrence in the liver and lung metastases were detected at the regular check-up. All of the malignant focuses were eliminated by parenchyma sparing surgical resections, then a postoperative adjuvant chemotherapy (FAM scheme) has been followed. After eight months the patient remained symptom-free. The long-term survival seems to justify the aggressive approach of this kind of malignancies.
报告了一例67岁男性患者，其既往根治性切除的肝细胞癌出现局部复发并伴有肺远处转移，经治疗成功。在原发性肝恶性肿瘤完全切除两年后，切除了局部复发病灶，随后进行了选择性动脉内细胞毒性治疗和化疗栓塞。实现了三年的无病间期，之后在定期检查中发现肝脏复发和肺转移。通过保留实质的手术切除消除了所有恶性病灶，然后进行了术后辅助化疗（FAM方案）。八个月后患者仍无症状。长期生存似乎证明了对这类恶性肿瘤采取积极治疗方法的合理性。
