[Solitary lymph node metastasis from early-stage hepatocellular carcinoma after transcatheter arterial chemoembolization and radiofrequency ablation: a case report and review of the Japanese literature].
Journal
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology
ISSN: 0446-6586
Titre abrégé: Nihon Shokakibyo Gakkai Zasshi
Pays: Japan
ID NLM: 2984683R
Informations de publication
Date de publication:
2019
2019
Historique:
entrez:
13
9
2019
pubmed:
13
9
2019
medline:
27
9
2019
Statut:
ppublish
Résumé
A 77-year-old man with chronic hepatitis C underwent transcatheter arterial chemoembolization (TACE) and radiofrequency ablation (RFA) for early-stage hepatocellular carcinoma (HCC) in segment 8 of the liver. Necrosis was confirmed radiologically. After 19 months, recurrent HCC in segment 6 was treated with TACE and RFA. There was no recurrence. Direct-acting antiviral (DAA) therapy 24 months after the initial procedure led to a sustained virologic response. AFP-L3 markedly increased 11 months after DAA therapy, and MRI 6 months after that showed a solitary lymph node near the common bile duct. Because no intrahepatic recurrence or other lymph nodes were seen, the solitary node was excised. Histopathology showed metastatic HCC. There has been no subsequent recurrence over 13 months of follow-up.
Identifiants
pubmed: 31511463
doi: 10.11405/nisshoshi.116.764
doi:
Substances chimiques
Antiviral Agents
0
Types de publication
Case Reports
Journal Article
Review
Langues
jpn
Sous-ensembles de citation
IM