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Fibrolamellar Hepatocellular Carcinoma with Multiple Lung Metastases Treated with Multidisciplinary Therapy

A 20-year old man was diagnosed with fibrolamellar hepatocellular carcinoma (FLHCC) with multiple lung metastases, and chemotherapy with FOLFOX was administered. Contrast enhanced CT after 3 cycles of FOLFOX showed no disease progression. We therefore performed surgical resection and radiofrequency...

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Autores principales: Tanaka, Hiroki, Hijioka, Susumu, Iwaya, Hiromichi, Mizuno, Nobumasa, Kuwahara, Takamichi, Okuno, Nozomi, Ito, Ayako, Kuraoka, Naosuke, Matsumoto, Shinpei, Obata, Masahiro, Kurita, Yusuke, Yasuda, Muneji, Shimizu, Yasuhiro, Kuroda, Hiroaki, Sato, Yozo, Haneda, Masataka, Sasaki, Eiichi, Yatabe, Yasushi, Hara, Kazuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355421/
https://www.ncbi.nlm.nih.gov/pubmed/30101933
http://dx.doi.org/10.2169/internalmedicine.1243-18
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author Tanaka, Hiroki
Hijioka, Susumu
Iwaya, Hiromichi
Mizuno, Nobumasa
Kuwahara, Takamichi
Okuno, Nozomi
Ito, Ayako
Kuraoka, Naosuke
Matsumoto, Shinpei
Obata, Masahiro
Kurita, Yusuke
Yasuda, Muneji
Shimizu, Yasuhiro
Kuroda, Hiroaki
Sato, Yozo
Haneda, Masataka
Sasaki, Eiichi
Yatabe, Yasushi
Hara, Kazuo
author_facet Tanaka, Hiroki
Hijioka, Susumu
Iwaya, Hiromichi
Mizuno, Nobumasa
Kuwahara, Takamichi
Okuno, Nozomi
Ito, Ayako
Kuraoka, Naosuke
Matsumoto, Shinpei
Obata, Masahiro
Kurita, Yusuke
Yasuda, Muneji
Shimizu, Yasuhiro
Kuroda, Hiroaki
Sato, Yozo
Haneda, Masataka
Sasaki, Eiichi
Yatabe, Yasushi
Hara, Kazuo
author_sort Tanaka, Hiroki
collection PubMed
description A 20-year old man was diagnosed with fibrolamellar hepatocellular carcinoma (FLHCC) with multiple lung metastases, and chemotherapy with FOLFOX was administered. Contrast enhanced CT after 3 cycles of FOLFOX showed no disease progression. We therefore performed surgical resection and radiofrequency ablation of the liver lesions and lung metastases, after obtaining the patient's informed consent. The liver lesions and lung metastases tested positive for DNAJB1-PRKACA. The treatment for FLHCC with extrahepatic metastasis has not been established; however, in a few cases, good long-term prognoses were obtained with multidisciplinary therapy. We herein report a case of FLHCC with multiple lung metastases that was treated with multidisciplinary therapies.
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spelling pubmed-63554212019-02-01 Fibrolamellar Hepatocellular Carcinoma with Multiple Lung Metastases Treated with Multidisciplinary Therapy Tanaka, Hiroki Hijioka, Susumu Iwaya, Hiromichi Mizuno, Nobumasa Kuwahara, Takamichi Okuno, Nozomi Ito, Ayako Kuraoka, Naosuke Matsumoto, Shinpei Obata, Masahiro Kurita, Yusuke Yasuda, Muneji Shimizu, Yasuhiro Kuroda, Hiroaki Sato, Yozo Haneda, Masataka Sasaki, Eiichi Yatabe, Yasushi Hara, Kazuo Intern Med Case Report A 20-year old man was diagnosed with fibrolamellar hepatocellular carcinoma (FLHCC) with multiple lung metastases, and chemotherapy with FOLFOX was administered. Contrast enhanced CT after 3 cycles of FOLFOX showed no disease progression. We therefore performed surgical resection and radiofrequency ablation of the liver lesions and lung metastases, after obtaining the patient's informed consent. The liver lesions and lung metastases tested positive for DNAJB1-PRKACA. The treatment for FLHCC with extrahepatic metastasis has not been established; however, in a few cases, good long-term prognoses were obtained with multidisciplinary therapy. We herein report a case of FLHCC with multiple lung metastases that was treated with multidisciplinary therapies. The Japanese Society of Internal Medicine 2018-08-10 2018-12-15 /pmc/articles/PMC6355421/ /pubmed/30101933 http://dx.doi.org/10.2169/internalmedicine.1243-18 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Tanaka, Hiroki
Hijioka, Susumu
Iwaya, Hiromichi
Mizuno, Nobumasa
Kuwahara, Takamichi
Okuno, Nozomi
Ito, Ayako
Kuraoka, Naosuke
Matsumoto, Shinpei
Obata, Masahiro
Kurita, Yusuke
Yasuda, Muneji
Shimizu, Yasuhiro
Kuroda, Hiroaki
Sato, Yozo
Haneda, Masataka
Sasaki, Eiichi
Yatabe, Yasushi
Hara, Kazuo
Fibrolamellar Hepatocellular Carcinoma with Multiple Lung Metastases Treated with Multidisciplinary Therapy
title Fibrolamellar Hepatocellular Carcinoma with Multiple Lung Metastases Treated with Multidisciplinary Therapy
title_full Fibrolamellar Hepatocellular Carcinoma with Multiple Lung Metastases Treated with Multidisciplinary Therapy
title_fullStr Fibrolamellar Hepatocellular Carcinoma with Multiple Lung Metastases Treated with Multidisciplinary Therapy
title_full_unstemmed Fibrolamellar Hepatocellular Carcinoma with Multiple Lung Metastases Treated with Multidisciplinary Therapy
title_short Fibrolamellar Hepatocellular Carcinoma with Multiple Lung Metastases Treated with Multidisciplinary Therapy
title_sort fibrolamellar hepatocellular carcinoma with multiple lung metastases treated with multidisciplinary therapy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355421/
https://www.ncbi.nlm.nih.gov/pubmed/30101933
http://dx.doi.org/10.2169/internalmedicine.1243-18
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