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Original Article
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Korean J Med. 2006;71(5):573-576.
- 증례:난소에 전이된 원발성 간세포암 1예
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임태규, , , , , ,
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- A case of hepatocellular carcinoma with ovarian metastasis
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Tae Kyu Lim, Ji Eun Uhm, Jun Am Shin, Hae Suk Cheong, Eun Hee Jang, Cheol Keun Park, Joon Oh Park
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고려대학교 의과대학 내과학교실
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- Abstract
- Primary hepatocellular carcinoma with metastasis to the ovary is a rare malady. To the best of
our knowledge, approximately eight cases in the English literature and two cases in the Korean
literature have been reported.
We report here a case of hepatocellular carcinoma with metastasis to the ovary in a 40-year-old
woman who presented with a month long history of lower abdominal discomfort and a palpable mass.
She had been diagnosed with hepatocellular carcinoma (HCC) four years prior and subsequently
underwent a several courses of transarterial chemoembolization and radio-frequency ablation. The
patient had then been seen regularly and was generally well until 4 month ago, when the alpha
fetoprotein (AFP) level began to rise to 425 ng/mL. After that time she had been seen and examined
every month, however, the AFP level rose to 2,150 ng/mL without evidence of recurrence on the
computed tomography (CT) scan of liver, the heapatic artery angiography, PET and so on. On
admission, a pelvis MRI revealed mainly solid masses of both ovaries and multiple peritoneal and
omental nodules. Transvaginal core biopsy was performed and the histologic examination of the
specimen revealed metastatic hepatocellular carcinoma.
We report here on one case of ovarian metastasis from hepatocellular carcinoma together with a
brief review of the literature.(Korean J Med 71:573-576, 2006)
Key Words : Hepatocellular carcinoma, Ovary, Metastasis
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