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
em Ko
| WPRIM
| ID: wpr-194396
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Cuidados Paliativos
/
Pelve
/
Prognóstico
/
Radioterapia
/
Recidiva
/
Imageamento por Ressonância Magnética
/
Seguimentos
/
Expectativa de Vida
/
Dor Pélvica
/
Carcinoma Hepatocelular
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
Ko
Revista:
Journal of Liver Cancer
Ano de publicação:
2016
Tipo de documento:
Article