title: Brain metastasis from hepatocellular carcinoma treated with a cyber-knife.
abstract: 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.
authors.affiliation: Department of Gastroenterology, Ehime Prefectural Central Hospital, Matsuyama. c-ahiraoka@eph.pref.ehime.jp
authors.forename: Atsushi
authors.initials: A
authors.lastname: Hiraoka
authors.forename: Norio
authors.initials: N
authors.lastname: Horiike
authors.forename: Yohei
authors.initials: Y
authors.lastname: Koizumi
authors.forename: Nayu
authors.initials: N
authors.lastname: Tazuya
authors.forename: Misa
authors.initials: M
authors.lastname: Ichiryu
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Nakahara
authors.forename: Hironori
authors.initials: H
authors.lastname: Ochi
authors.forename: Atsushi
authors.initials: A
authors.lastname: Tanabe
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Doi
authors.forename: Akihiro
authors.initials: A
authors.lastname: Kodama
authors.forename: Aki
authors.initials: A
authors.lastname: Hasebe
authors.forename: Soichi
authors.initials: S
authors.lastname: Ichikawa
authors.forename: Yasunao
authors.initials: Y
authors.lastname: Miyamoto
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Ninomiya
authors.forename: Akinori
authors.initials: A
authors.lastname: Asagi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Matsubara
authors.forename: Seijin
authors.initials: S
authors.lastname: Nadano
authors.forename: Osamu
authors.initials: O
authors.lastname: Nishizaki
authors.forename: Masakichi
authors.initials: M
authors.lastname: Umeda
mesh_terms: 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*