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Case Report
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Korean J Med. 2015;88(2):202-206. Published online February 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.2.202
- 간세포암종에서 발생한 공동 형태의 폐 전이
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조용숙, 배원, 김주혜, 이하연, 곽낙원, 고성준, 이창훈
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서울대학교 의과대학 서울대학교병원 호흡기내과
- Cavitary Form of Lung Metastasis from Advanced Hepatocellular Carcinoma
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Yong Suk Jo, Won Bae, Joo Hae Kim, Ha Youn Lee, Nak Won Kwak, Sung Jun Ko, Chang-Hoon Lee
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Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
- Corresponding author: Chang-Hoon Lee ,Tel: +82-2-2072-4743, Fax: +82-2-762-9662, Email: kauri670@gmail.com
- Received: June 17, 2014; Revised: July 22, 2014 Accepted: August 28, 2014.
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߽ɾ :간세포암; 감염; 전이
- 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.
Keywords :Hepatocellular carcinoma, Infection, Metastasis
