Brain metastasis from hepatocellular carcinoma treated with a cyber-knife.
A 70-year-old right-handed Japanese man who had undergone surgical resection for hepatocellular carcinoma (HCC) 2 years earlier was diagnosed with lung metastasis 3 months before consulting our hospital with a headache and visual field disturbance. Head computed tomography revealed a brain tumor with an intracerebral hemorrhage. Using (99m)Tc-PMT (pyridoxal-5-methly-triptophan) scintigraphy, we determined that the brain tumor was metastasis from the HCC and utilized the cyber-knife for treatment. The prognosis of patients with brain metastasis from HCC has been reported to be poor. Use of the cyber-knife was non-invasive, and proved to be effective for improving prognosis and quality of life.
Hiraoka
Atsushi
A
Department of Gastroenterology, Ehime Prefectural Central Hospital, Matsuyama. c-ahiraoka@eph.pref.ehime.jp
Horiike
Norio
N
Koizumi
Yohei
Y
Tazuya
Nayu
N
Ichiryu
Misa
M
Nakahara
Hiromasa
H
Ochi
Hironori
H
Tanabe
Atsushi
A
Doi
Hirokazu
H
Kodama
Akihiro
A
Hasebe
Aki
A
Ichikawa
Soichi
S
Miyamoto
Yasunao
Y
Ninomiya
Tomoyuki
T
Asagi
Akinori
A
Matsubara
Hiroshi
H
Nadano
Seijin
S
Nishizaki
Osamu
O
Umeda
Masakichi
M
D000368:Aged; D001932:Brain Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery*; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D016634:Radiosurgery / Q000295:instrumentation*