Solitary extrahepatic intraabdominal metastasis from hepatocellular carcinoma after liver transplantation

Sae-Byeol Choi, Hyungi Kim, Sung Hoon Kim, Young Nyun Park, Kyung Sik Kim

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

A liver transplantation is a treatment option in selected patients with hepatocellular carcinoma (HCC). Despite the adequate selection of candidates, recurrences of HCC may still develop. Solitary extrahepatic metastasis from HCC after a liver transplantation is rare. Here we report two cases of HCC demonstrated extrahepatic recurrence to the adrenal gland and spleen, respectively, within one year after a liver transplantation. Since the treatment of solitary extrahepatic metastasis from HCC after a liver transplantation is not standardized, surgical resection was performed. In the case of HCC adrenal metastasis, innumerable intrahepatic metastases were found two months after the adrenalectomy. And 16 months after adrenalectomy, the patient expired due to tumor progression and hepatic failure. In the case of HCC splenic metastasis, postoperative radiation therapy was performed. However, two recurrent HCC nodules were found 15 months after the splenectomy and received transarterial chemoembolization (TACE). And 29 month after the splenectomy, the patient also expired as same causes of former patient.

Original languageEnglish
Pages (from-to)199-203
Number of pages5
JournalYonsei Medical Journal
Volume52
Issue number1
DOIs
Publication statusPublished - 2011 Jan 1

Keywords

  • Adrenal metastasis
  • Hepatocellular carcinoma
  • Liver transplantation
  • Splenic metastasis

ASJC Scopus subject areas

  • Medicine(all)

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