Successful surgical treatment of peritoneal dissemination of hepatocellular carcinoma.
Hepatocellular carcinoma rarely disseminates intraperitoneally. When it does, it usually is considered a terminal event. The successful treatment of complications of peritoneal metastases by surgical resection in a patient with hepatocellular carcinoma is reported. A 63-year-old man with hepatocellular carcinoma in the anterior segment underwent transarterial and portal embolization followed by extended radical hepatectomy. Five years and 8 months later, he presented with an ileus that was secondary to multiple peritoneal metastases that were resected to the extent possible. Eight months later, the patient presented with a second episode of ileus and underwent another operation that included bowel resection. However, pelvic tumors that were unresectable also were present. The patient survived for another 9 months before dying with peritoneal carcinomatosis. Although surgical treatment of peritoneal dissemination of hepatocellular carcinoma is not curative, surgery may improve survival and provide a good quality of life in selected cases.
Yoshida
Hiroshi
H
First Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan.
Onda
Masahiko
M
Tajiri
Takashi
T
Akimaru
Koho
K
Takasaki
Hideaki
H
Mamada
Yasuhiro
Y
Taniai
Nobuhiko
N
Nakamura
Yoshiharu
Y
Kawano
Youichi
Y
Takahashi
Tsubasa
T
D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000601:surgery*; D003106:Colon / Q000473:pathology / Q000601:surgery; D004621:Embolization, Therapeutic; D017809:Fatal Outcome; D006498:Hepatectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009366:Neoplasm Seeding; D010534:Peritoneal Neoplasms / Q000473:pathology / Q000601:surgery*