title: [Surgical treatment for peritoneal metastasis of hepatocellular carcinoma after hepatectomy--a case report].
abstract: A patient was a 61-year-old male. In December 2005, abdominal computer tomography (CT) revealed at a 4 cm-in-diameter early enhanced lesion in S6 and a 1.5 cm-in-diameter early enhanced lesion in S5/8, which were diagnosed as hepatocellular carcinomas. He underwent S6 partial hepatectomy and S5/8 partial hepatectomy. However, multiple lung metastatic lesions and a peritoneal metastatic lesion were detected by computer tomography (CT) in July 2007, led to a diagnosis as recurrence of HCC. Although he received S-1/IFN-α combination systemic chemotherapy, no effect was shown and peritoneal metastatic lesion grew to 10 cm-in-diameter. We thought that this lesion might lead to ileus, therefore, he received peritoneal tumor resection in December 2007. Multiple lung metastases grew and he was dead 13 months after the surgery: no abdominal symptom and sign due to ileus was noted. In this case, it was considered that a resection of peritoneal metastasis might be attempted to prevent ileus, even if there were other metastatic lesions, such as multiple lung metastases.
authors.affiliation: Dept. of Surgery, Suita Municipal Hospital.
authors.forename: Hideo
authors.initials: H
authors.lastname: Ota
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nagano
authors.forename: Masahiro
authors.initials: M
authors.lastname: Murakami
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Nagase
authors.forename: Ryota
authors.initials: R
authors.lastname: Mukai
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Okada
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Ide
authors.forename: Kentaro
authors.initials: K
authors.lastname: Maruyama
authors.forename: Kohei
authors.initials: K
authors.lastname: Murata
authors.forename: Hideoki
authors.initials: H
authors.lastname: Yokouchi
authors.forename: Masakatsu
authors.initials: M
authors.lastname: Kinuta
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000473:pathology* / Q000601:surgery*; D006498:Hepatectomy; D006801:Humans; D045823:Ileus / Q000517:prevention & control; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D008875:Middle Aged; D010534:Peritoneal Neoplasms / Q000556:secondary* / Q000601:surgery*