title: Long-term survival in a patient with repeated resections for lung metastasis after hepatectomy for ruptured hepatocellular carcinoma: a case report.
abstract: BACKGROUND
  Tumor rupture and pulmonary metastasis in patients with hepatocellular carcinoma are both associated with poor prognosis and treatment strategies are controversial.
  
  
  METHODS
  Here we report a 50-year-old man with survival of over 90 months after undergoing an extended right lobectomy for a ruptured hepatocellular carcinoma and then repeated resections for pulmonary metastasis during the followup period.
  
  
  CONCLUSIONS
  This case report shows that surgical resection can be an effective treatment for patients with both ruptured hepatocellular carcinoma and pulmonary recurrences.
authors.affiliation: Department of Gastroenterology Changhua Christian Hospital, Changhua, Taiwan. 107400@cch.org.tw
authors.forename: Kai-Lun
authors.initials: KL
authors.lastname: Shih
authors.forename: Yang-Yuan
authors.initials: YY
authors.lastname: Chen
authors.forename: Tsung-Han
authors.initials: TH
authors.lastname: Teng
authors.forename: Maw-Soan
authors.initials: MS
authors.lastname: Soon