Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Generalized intraperitoneal seeding of hepatocellular carcinoma after microwave coagulation therapy: A case report
Autore:
Sato, M; Tokui, K; Watanabe, Y; Lee, T; Kohtani, T; Nezu, K; Kawachi, K; Kito, K; Sugita, A; Ueda, N;
Indirizzi:
Ehime Univ, Sch Med, Dept Surg 2, Shigenobu, Ehime 7910295, Japan Ehime Univ Shigenobu Ehime Japan 7910295 Shigenobu, Ehime 7910295, Japan Ehime Univ, Sch Med, Dept Pathol 1, Shigenobu, Ehime 7910295, Japan Ehime Univ Shigenobu Ehime Japan 7910295 Shigenobu, Ehime 7910295, Japan
Titolo Testata:
HEPATO-GASTROENTEROLOGY
fascicolo: 28, volume: 46, anno: 1999,
pagine: 2561 - 2564
SICI:
0172-6390(199907/08)46:28<2561:GISOHC>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERCUTANEOUS ETHANOL INJECTION; ABLATION;
Keywords:
complication; liver cancer; microwave coagulation; peritoneal metastasis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Sato, M Ehime Univ, Sch Med, Dept Surg 2, Shigenobu, Ehime 7910295, Japan Ehime Univ Shigenobu Ehime Japan 7910295 bu, Ehime 7910295, Japan
Citazione:
M. Sato et al., "Generalized intraperitoneal seeding of hepatocellular carcinoma after microwave coagulation therapy: A case report", HEP-GASTRO, 46(28), 1999, pp. 2561-2564

Abstract

We first describe a case of generalized intraperitoneal seeding of hepatocellular carcinoma (HCC) after microwave coagulation therapy (MCT). A 61 year-old man underwent operative MCT for an exophytic HCC, 60mm in diameter, in segment IV off his cirrhotic liver. Despite successful tumor ablation, the serum alpha-fetoprotein levels continuously rose after MCT. Five months later, radiographic examinations delineated several perihepatic masses with hypervascularity, and the patient presented with constipation. At the second laparotomy, there were numerous small peritoneal metastases involving theentire peritoneal cavity and slightly bloody ascites. An omental mass, 50mm in diameter, involved the transverse colon. Most of these intraabdominal masses were removed together with the involved colon. Histologically, the initial tumor was a moderately differentiated HCC, and the peritoneal masseswere poorly differentiated HCCs. The patient died of rapid tumor progression and bleeding 2 months later. In conclusion, we should be aware of the possible occurrence of peritoneal seeding after MCT for HCC. Every effort should be made to prevent this serious complication, particularly in cases of superficial, large, and less differentiated HCCs.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 06:18:18