Cargando…

Metabolic imaging for guidance of curative treatment of isolated pelvic implantation metastasis after resection of spontaneously ruptured hepatocellular carcinoma: A case report

Spontaneous rupture of hepatocellular carcinoma (HCC) is a life-threatening complication and its prognosis is significantly poor because of the high recurrence rate after initial hepatectomy. Resection of isolated extrahepatic metastasis of HCC has been advocated to obtain a possibility of long-term...

Descripción completa

Detalles Bibliográficos
Autores principales: Hao, Bing, Guo, Wei, Luo, Na-Na, Fu, Hao, Chen, Hao-Jun, Zhao, Long, Wu, Hua, Sun, Long
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5107606/
https://www.ncbi.nlm.nih.gov/pubmed/27895412
http://dx.doi.org/10.3748/wjg.v22.i41.9242
_version_ 1782467213610975232
author Hao, Bing
Guo, Wei
Luo, Na-Na
Fu, Hao
Chen, Hao-Jun
Zhao, Long
Wu, Hua
Sun, Long
author_facet Hao, Bing
Guo, Wei
Luo, Na-Na
Fu, Hao
Chen, Hao-Jun
Zhao, Long
Wu, Hua
Sun, Long
author_sort Hao, Bing
collection PubMed
description Spontaneous rupture of hepatocellular carcinoma (HCC) is a life-threatening complication and its prognosis is significantly poor because of the high recurrence rate after initial hepatectomy. Resection of isolated extrahepatic metastasis of HCC has been advocated to obtain a possibility of long-term survival. However, it is a challenge for clinicians to detect implantation metastasis of spontaneously ruptured HCC. Accurate re-staging plays the most important role in making a decision on isolated metastasis resection. (18)F-fluorodeoxyglucose ((18)F-FDG) positron emission tomography/computed tomography (PET/CT) is useful in detecting intra-abdominal implantation metastasis from a variety of malignancies and shows superior accuracy to conventional imaging modalities in determining the location of metastasis. We present one patient with a new isolated pelvic implantation metastasis detected by (18)F-FDG PET/CT and pathologically confirmed by PET/CT-guided percutaneous biopsy, who had a history of resection of spontaneously ruptured HCC two years ago. The patient’s condition was stable at the 6-mo follow-up after resection of the isolated pelvic metastasis.
format Online
Article
Text
id pubmed-5107606
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Baishideng Publishing Group Inc
record_format MEDLINE/PubMed
spelling pubmed-51076062016-11-28 Metabolic imaging for guidance of curative treatment of isolated pelvic implantation metastasis after resection of spontaneously ruptured hepatocellular carcinoma: A case report Hao, Bing Guo, Wei Luo, Na-Na Fu, Hao Chen, Hao-Jun Zhao, Long Wu, Hua Sun, Long World J Gastroenterol Case Report Spontaneous rupture of hepatocellular carcinoma (HCC) is a life-threatening complication and its prognosis is significantly poor because of the high recurrence rate after initial hepatectomy. Resection of isolated extrahepatic metastasis of HCC has been advocated to obtain a possibility of long-term survival. However, it is a challenge for clinicians to detect implantation metastasis of spontaneously ruptured HCC. Accurate re-staging plays the most important role in making a decision on isolated metastasis resection. (18)F-fluorodeoxyglucose ((18)F-FDG) positron emission tomography/computed tomography (PET/CT) is useful in detecting intra-abdominal implantation metastasis from a variety of malignancies and shows superior accuracy to conventional imaging modalities in determining the location of metastasis. We present one patient with a new isolated pelvic implantation metastasis detected by (18)F-FDG PET/CT and pathologically confirmed by PET/CT-guided percutaneous biopsy, who had a history of resection of spontaneously ruptured HCC two years ago. The patient’s condition was stable at the 6-mo follow-up after resection of the isolated pelvic metastasis. Baishideng Publishing Group Inc 2016-11-07 2016-11-07 /pmc/articles/PMC5107606/ /pubmed/27895412 http://dx.doi.org/10.3748/wjg.v22.i41.9242 Text en ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Hao, Bing
Guo, Wei
Luo, Na-Na
Fu, Hao
Chen, Hao-Jun
Zhao, Long
Wu, Hua
Sun, Long
Metabolic imaging for guidance of curative treatment of isolated pelvic implantation metastasis after resection of spontaneously ruptured hepatocellular carcinoma: A case report
title Metabolic imaging for guidance of curative treatment of isolated pelvic implantation metastasis after resection of spontaneously ruptured hepatocellular carcinoma: A case report
title_full Metabolic imaging for guidance of curative treatment of isolated pelvic implantation metastasis after resection of spontaneously ruptured hepatocellular carcinoma: A case report
title_fullStr Metabolic imaging for guidance of curative treatment of isolated pelvic implantation metastasis after resection of spontaneously ruptured hepatocellular carcinoma: A case report
title_full_unstemmed Metabolic imaging for guidance of curative treatment of isolated pelvic implantation metastasis after resection of spontaneously ruptured hepatocellular carcinoma: A case report
title_short Metabolic imaging for guidance of curative treatment of isolated pelvic implantation metastasis after resection of spontaneously ruptured hepatocellular carcinoma: A case report
title_sort metabolic imaging for guidance of curative treatment of isolated pelvic implantation metastasis after resection of spontaneously ruptured hepatocellular carcinoma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5107606/
https://www.ncbi.nlm.nih.gov/pubmed/27895412
http://dx.doi.org/10.3748/wjg.v22.i41.9242
work_keys_str_mv AT haobing metabolicimagingforguidanceofcurativetreatmentofisolatedpelvicimplantationmetastasisafterresectionofspontaneouslyrupturedhepatocellularcarcinomaacasereport
AT guowei metabolicimagingforguidanceofcurativetreatmentofisolatedpelvicimplantationmetastasisafterresectionofspontaneouslyrupturedhepatocellularcarcinomaacasereport
AT luonana metabolicimagingforguidanceofcurativetreatmentofisolatedpelvicimplantationmetastasisafterresectionofspontaneouslyrupturedhepatocellularcarcinomaacasereport
AT fuhao metabolicimagingforguidanceofcurativetreatmentofisolatedpelvicimplantationmetastasisafterresectionofspontaneouslyrupturedhepatocellularcarcinomaacasereport
AT chenhaojun metabolicimagingforguidanceofcurativetreatmentofisolatedpelvicimplantationmetastasisafterresectionofspontaneouslyrupturedhepatocellularcarcinomaacasereport
AT zhaolong metabolicimagingforguidanceofcurativetreatmentofisolatedpelvicimplantationmetastasisafterresectionofspontaneouslyrupturedhepatocellularcarcinomaacasereport
AT wuhua metabolicimagingforguidanceofcurativetreatmentofisolatedpelvicimplantationmetastasisafterresectionofspontaneouslyrupturedhepatocellularcarcinomaacasereport
AT sunlong metabolicimagingforguidanceofcurativetreatmentofisolatedpelvicimplantationmetastasisafterresectionofspontaneouslyrupturedhepatocellularcarcinomaacasereport