Cavitary Form of Lung Metastasis from Advanced Hepatocellular Carcinoma |
Yong Suk Jo, Won Bae, Joo Hae Kim, Ha Youn Lee, Nak Won Kwak, Sung Jun Ko, Chang-Hoon Lee |
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea |
간세포암종에서 발생한 공동 형태의 폐 전이 |
조용숙, 배원, 김주혜, 이하연, 곽낙원, 고성준, 이창훈 |
서울대학교 의과대학 서울대학교병원 호흡기내과 |
Correspondence:
Chang-Hoon Lee, Tel: +82-2-2072-4743, Fax: +82-2-762-9662, Email: kauri670@gmail.com |
Received: 17 June 2014 • Revised: 22 July 2014 • Accepted: 28 August 2014 |
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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Abstract |
The most common site of extrahepatic metastasis in cases of advanced hepatocellular carcinoma is the lung. A 60-year-old Korean male had been previously diagnosed with hepatocellular carcinoma and was treated several times with transcatheter arterial chemoembolization prior to a regime of sorafenib after multiple bone metastases were detected. Despite 2 months of systemic treatment, the disease progressed, and newly developed cavitary nodules and ground glass opacities were observed on a chest computed tomography scan. Initially the patient was diagnosed with septic pneumonia and was subsequently treated with antibiotics over 2 weeks, with no observable improvement. A percutaneous transthoracic needle aspiration biopsy was performed to ascertain the noninfectious origin of the lung lesions. As a result, a rare form of pulmonary metastasis from hepatocellular carcinoma was discovered. Unfortunately, there were no available treatment options for the patient and so end-of-life care was recommended. |
Key Words:
Hepatocellular carcinoma; Infection; Metastasis |
주제어:
간세포암; 감염; 전이 |
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