Abstract
We experienced a case of hepatocellular carcinoma (HCC) with massive spontaneous necrosis. A 53-year-old man was admitted to the hospital because he was pointed out an abnormal tumor at anterio-superior segment of the liver. Each examination showed atypical findings for HCC. Operation was performed through transdiaphragmatic approach because he had severe liver cirrhosis. The tumor had a thick capsula and fell into almost complete coagulation necrosis. Viable cancer cells were still alive at the diaphragamatic site of the tumor. It is supposed that the feeding artery of the tumor may be suddenly obstructed by thrombus to cause the massive necrosis, because the morphorogy of the spontaneous necrosis was simillar to that of necrosis after TAE. The massive necrotic HCC may be demonstrated as atypical findings as HCC in preoperative diagnostic images due to its variedtissue composition. It is necessary to consider the HCC with massive spontaneous nectrosis in diagnosis of atypical liver tumors. And it is assessed that transdiaphragmatic approach in hepatic resection that was employed in this case is useful for patients with poor hepatic function.
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Schedule a callMore From: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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