title: [Repeated resection of hepatocellular carcinoma and its recurrences and removal of pulmonary metastases].
abstract: 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.
authors.affiliation: Pécsi Orvostudományi Egyetem I., Belgyógyászati Klinika.
authors.forename: B
authors.initials: B
authors.lastname: Gasztonyi
authors.forename: A
authors.initials: A
authors.lastname: Pár
authors.forename: F T
authors.initials: FT
authors.lastname: Molnár
authors.forename: L
authors.initials: L
authors.lastname: Cseke
authors.forename: O P
authors.initials: OP
authors.lastname: Horváth
authors.forename: I
authors.initials: I
authors.lastname: Battyány
authors.forename: G
authors.initials: G
authors.lastname: Hegedüs
authors.forename: L
authors.initials: L
authors.lastname: Horváth
authors.forename: G
authors.initials: G
authors.lastname: Mózsik
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D003131:Combined Modality Therapy; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D008297:Male; D009364:Neoplasm Recurrence, Local; D014057:Tomography, X-Ray Computed