A Case of Complete Response by Multidisciplinary Management in a Patient with Solitary Bone Metastasis after Curative Resection of Hepatocellular Carcinoma
Journal of Liver Cancer
;
: 52-56, 2016.
Article
in Korean
| WPRIM
| ID: wpr-194396
ABSTRACT
Despite recent advances in the treatment of hepatocellular carcinoma (HCC), the prognosis of patients with extrahepatic metastasis from HCC still remains dismal. The current study presents a case of HCC that was metastatic to the pelvis and describes successful treatment with multidisciplinary approach to the skeletal metastasis. The patient was a 67-year-old male who presented with right pelvic pain 28 months following right hepatectomy for HCC. Computed tomography and magnetic resonance imaging indicated a solitary bone metastasis without intrahepatic recurrence. Complete response was achieved with multidisciplinary management including sorafenib, transarterial embolization, surgery to remove the metastatic mass and radiotherapy after surgery. A post-operative follow-up 15 months later found that the patient remained in good health with maintained complete response. This case suggests that a multidisciplinary approach can achieve long-term cancer-free survival and prolonged life expectancy beyond palliative care for patients with solitary bone metastasis after curative surgery for HCC.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Palliative Care
/
Pelvis
/
Prognosis
/
Radiotherapy
/
Recurrence
/
Magnetic Resonance Imaging
/
Follow-Up Studies
/
Life Expectancy
/
Pelvic Pain
/
Carcinoma, Hepatocellular
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
/
Male
Language:
Korean
Journal:
Journal of Liver Cancer
Year:
2016
Type:
Article
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