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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Long-term survival in a patient with repeated resections for lung metastasis after hepatectomy for ruptured hepatocellular carcinoma: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Long-term survival in a patient with repeated resections for lung metastasis after hepatectomy for ruptured hepatocellular carcinoma a case report Kai-Lun Shih 1 Yang-Yuan Chen1 Tsung-Han Teng2 and Maw-Soan Soon1 Address Department of Gastroenterology Changhua Christian Hospital Changhua Taiwan and 2Department of Pathology Changhua Christian Hospital Changhua Taiwan Email Kai-Lun Shih - 107400@cch.org.tw Yang-Yuan Chen - 27716@cch.org.tw Tsung-HanTeng - 130993@cch.org.tw Maw- Soan Soon - 2531@cch.org.tw Corresponding author Published 30 June 2008 Received 7 December 2007 Journal of Medical Case Reports 2008 2 222 doi 10.1186 1752-1947-2-222 Accepted 30 June 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 222 2008 Shih et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Tumor rupture and pulmonary metastasis in patients with hepatocellular carcinoma are both associated with poor prognosis and treatment strategies are controversial. Case presentation Here we report a 50-year-old man with survival of over 90 months after undergoing an extended right lobectomy for a ruptured hepatocellular carcinoma and then repeated resections for pulmonary metastasis during the followup period. Conclusion This case report shows that surgical resection can be an effective treatment for patients with both ruptured hepatocellular carcinoma and pulmonary recurrences. Introduction Hepatocellular carcinoma HCC is the most common primary hepatic tumor and one of the most common cancers worldwide. Spontaneous rupture is a life-threatening complication of HCC. The overall incidence of spontaneous rupture of HCC varies from 5
