title: Chest wall hernia induced by high intensity focused ultrasound treatment of unresectable massive hepatocellular carcinoma: A case report.
abstract: In the present study, a case of unresectable massive hepatocellular carcinoma (HCC) treated with high intensity focused ultrasound (HIFU) alone is reported. Although the treatment induced chest wall hernia, its efficacy in treating the HCC was demonstrated. The medical records of a patient with an unresectable massive tumor that was effectively treated with serial HIFU ablation were retrospectively studied. Chest wall hernia was detected as a complication of the HIFU treatment, which has not been reported thus far in the literature. The patient has survived for 44 months since the first diagnosis in September 2010. Treatment resulted in partial remission of the tumor, pain relief, decreased levels of alpha-fetoprotein and chest wall hernia, as a complication. Therefore, HIFU may be an effective approach for the treatment of unresectable HCC, although it may occasionally cause complications.
authors.affiliation: Department of Integrated Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, P.R. China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, P.R. China.
authors.forename: Qi-Wen
authors.initials: QW
authors.lastname: Chen
authors.affiliation: Cancer Center, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai 200041, P.R. China.
authors.forename: Wen-Jing
authors.initials: WJ
authors.lastname: Teng
authors.affiliation: Department of Obstetrics of Chongqing Haifu Hospital, Non-Invasive and Minimally Invasive Therapeutic Research Center for Uterine Benign Diseases of Chongqing, Chongqing 401121, P.R. China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Chen
keywords: hepatocellular carcinoma; high intensity focused ultrasound; unresectable massive tumor