Brozzetti S, Bini S, Fazzi K, Chiarella LL, Ceccarossi V, De Lucia C, De Toma G. Case-report: Metastases in a low-stage middle-graded HCC in cleared HCV infection, non-cirrhotic liver: Surgical therapy.
Int J Surg Case Rep 2018;
47:19-21. [PMID:
29704738 PMCID:
PMC5994798 DOI:
10.1016/j.ijscr.2018.04.013]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Accepted: 04/15/2018] [Indexed: 12/30/2022] Open
Abstract
INTRODUCTION
Hepatocellular carcinoma (HCC) is rare in non-cirrhotic liver. Achievement of sustained virological response (SVR) reduces even more the risk.
PRESENTATION OF CASE
Liver resection for small HCC was performed in cleared HCV infection non-cirrhotic 62-year-old man. Methacronous oligometastatic recurrences in intolerant to Nexavar® side-effects patient, were treated by multiple innovative microinvasive approaches: bilateral laparoscopic adrenalectomy, thoracic wall resection, laparoscopic sacrum cryoablation combined with hadron-therapy.
DISCUSSION
Therapies allowed the patient to lead 6 years satisfying QoL with only a small residual presacral disease stable at 8 months.
CONCLUSION
Microinvasive surgery may be a valid resource of therapy in indolent HCC limited distant recurrences.
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