Abstract
We describe a patient who underwent pulmonary resection three times for metastatic lung cancer from hepatocellular carcinoma (HCC). A 56-year-old man, who had a past history of right hepatic lobectomy for HCC, was referred to our department with an abnormal finding on chest computed tomography (CT). Chest CT showed three abnormal shadows, in the right upper lobe (S3b), right middle lobe (S5), and right lower lobe (S10), respectively, and there was no evidence of intrahepatic recurrence. He underwent surgical resections (right upper lobectomy and partial resections) for the metastatic lung cancer from HCC. Subsequently, 12 and 16 months after the first pulmonary resection, metastatic lung cancer recurred, in right S6 and S9, respectively. Because there was no evidence of intrahepatic recurrence and because of the feasibility of curative resection, we performed partial pulmonary resections. He had no postoperative morbidity, and is alive with no evidence of disease 60 months after the first pulmonary resection. Twelve cases of repeat pulmonary resections for metastatic lung cancer from HCC have been reported in the literature, and the authors of these reports described that repeated pulmonary resections for metastatic lung cancer from HCC resulted in long-term survival. Repeat pulmonary resections for metastatic lung cancer from HCC can be an effective treatment for patients with such metastases.
Similar content being viewed by others
References
T Okusaka S Okada H Ishii H Nose H Nagahama H Nakasuka et al. (1997) ArticleTitlePrognosis of hepatocellular carcinoma patients with extrahepatic metastases Hepatogastroenterology 44 251–7 Occurrence Handle9058154 Occurrence Handle1:STN:280:ByiB3M7hsFI%3D
T Kaido S Arii M Shiota M Imamura (2004) ArticleTitleRepeated resection for extrahepatic recurrences after hepatectomy for ruptured hepatocellular carcinoma J Hepatobiliary Pancreat Surg 11 149–52 Occurrence Handle15127281 Occurrence Handle10.1007/s00534-003-0858-3
CM Lam CM Lo WK Yuen CL Liu ST Fan (1998) ArticleTitleProlonged survival in selected patients following surgical resection for pulmonary metastasis from hepatocellular carcinoma Br J Surg 85 1198–200 Occurrence Handle9752858 Occurrence Handle10.1046/j.1365-2168.1998.00846.x Occurrence Handle1:STN:280:DyaK1cvitlOrsg%3D%3D
J Nakajima M Tanaka J Matsumoto E Takeuchi T Fukami S Takamoto (2005) ArticleTitleAppraisal of surgical treatment for pulmonary metastasis from hepatocellular carcinoma World J Surg 29 715–8 Occurrence Handle16078127 Occurrence Handle10.1007/s00268-005-7687-2
Y Tomimaru Y Sasaki T Yamada H Eguchi K Takami H Ohigashi et al. (2006) ArticleTitleThe significance of surgical resection for pulmonary metastasis from hepatocellular carcinoma Am J Surg 192 46–51 Occurrence Handle16769274 Occurrence Handle10.1016/j.amjsurg.2005.12.006
M Aramaki K Kawano A Sasaki T Matsumoto S Kai Y Iwashita et al. (2002) ArticleTitleProlonged survival after repeat resection of pulmonary metastasis from hepatocellular carcinoma J Hepatobiliary Pancreat Surg 9 386–8 Occurrence Handle12353153 Occurrence Handle10.1007/s005340200046
CB O'Suilleabhain RT Poon CW Lau ST Fan (2004) ArticleTitleRepeated resections of extrahepatic metastases after hepatic resection: an aggressive approach to hepatocellular carcinoma Hepatogastroenterology 51 825–9 Occurrence Handle15143926
T Nakamura T Kimura Y Umehara K Suzuki K Okamoto T Okumura et al. (2005) ArticleTitleLong-term survival after resection of pulmonary metastases from hepatocellular carcinoma: report of two cases Surg Today 35 890–2 Occurrence Handle16175474 Occurrence Handle10.1007/s00595-005-3022-7
Author information
Authors and Affiliations
About this article
Cite this article
Mizuno, Y., Iwata, H., Matsumoto, S. et al. Three pulmonary resections for metastatic lung cancer from hepatocellular carcinoma. J Hepatobiliary Pancreat Surg 14, 582–585 (2007). https://doi.org/10.1007/s00534-006-1202-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00534-006-1202-5