Surgery Today

, Volume 44, Issue 1, pp 188–191 | Cite as

Repeat hepatectomies for hepatic malignant lymphoma and hepatocellular carcinoma associated with chronic hepatitis C: report of a case

  • Hirotada Tajiri
  • Keishi Sugimachi
  • Nao Kinjo
  • Masahiko Ikebe
  • Junko Tanaka
  • Kiyoshi Tanaka
  • Shuichi Tsukamoto
  • Shinsuke Mii
  • Eiji Kajiwara
  • Tatsuro Shimokama
  • Hidefumi Higashi
Case Report

Abstract

We report a case of repeat hepatectomies for hepatic malignant lymphoma and hepatocellular carcinoma (HCC). A 75-year-old man with chronic hepatitis C underwent partial hepatectomy for a 25 mm hepatic tumor in S5. The histological diagnosis was diffuse large B-cell malignant lymphoma and as postoperative 18F-fluorodeoxyglucose-positron emission tomography showed no hot spots, the mass was presumed to be primary hepatic lymphoma. Thus, adjuvant systemic chemotherapy was given following the hepatectomy. Abdominal ultrasonography, done 12 months after the hepatectomy, showed a hepatic tumor in S6 and repeat partial hepatectomy was performed. This tumor was histologically diagnosed as HCC.

Keywords

Hepatocellular carcinoma Hepatic malignant lymphoma Hepatectomy 

Abbreviations

US

Ultrasonography

HCC

Hepatocellular carcinoma

HCV

Hepatitis C virus

NHL

Non-Hodgkin’s lymphoma

CT

Computed tomography

MRI

Magnetic resonance imaging

Gd-EOB-DTPA

Gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid

AFP

α-Fetoprotein

PIVKA 2

Protein induced by vitamin K absence or antagonist-2

Notes

Conflict of interest

H. Tajiri and co-authors have no conflict of interest.

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Copyright information

© Springer Japan 2013

Authors and Affiliations

  • Hirotada Tajiri
    • 1
  • Keishi Sugimachi
    • 1
  • Nao Kinjo
    • 1
  • Masahiko Ikebe
    • 1
  • Junko Tanaka
    • 1
  • Kiyoshi Tanaka
    • 1
  • Shuichi Tsukamoto
    • 1
  • Shinsuke Mii
    • 1
  • Eiji Kajiwara
    • 2
  • Tatsuro Shimokama
    • 3
  • Hidefumi Higashi
    • 1
  1. 1.Department of SurgerySteel Memorial Yawata HospitalKitakyushuJapan
  2. 2.Department of Hepatology, Steel Memorial Yawata HospitalKitakyushuJapan
  3. 3.Department of Pathology, Steel Memorial Yawata HospitalKitakyushuJapan

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