Giant Extrahepatic Hepatocellular Carcinoma -Report of Three Cases-

Susumu Yamaguchi, Kenji Kikuchi*, Akira Hanai*, Osamu Akaishi, Suehiro Nakano*, Suguru Tsukikawa*, Hiroyukl Komoriyama, Takuhiko Ehira, Masaru Hagiwara*

Department of Surgery, St. Marianna University School of Medicine Toyoko Hospital
*First Department of Surgery, St. Mrianna University School of Medicine

Extrahepatic cancer is a relatively rare disease. Its pathogenesis has not been clarified. Its diagnosis and treatment are said to be different from those of the usual hepatoma. We encountered three cases of extrahepatic hepatocellular carcinoma. Case 1 is that of a 38-year-old woman. Her pedunculated tumor was resected by partial hepatectomy. She is alive 4 years and 9 months after the operation. Case 2 is also that of a 39-year-old women. Her pedunculated tumor accompanied by chronic hepatitis was resected by partial hepatectomy. She is alive 2 years and 8 months after the operation. Case 3 is that of a 6l years old man. His protrusive tumor associated with multiple tumors in a cirrhotic liver was resectd by left hepatectomy. He died 7 months after the operation. Angiography is suggestd as a superior diagnostic procedure along with ultrasonography, computed tomography and examination for tumor markers. Prognosis for a pedunculated tumor is better than for a protrusive tumor after surgery.

Key words
hepatic cancer, extrahepatic hepatocellular cancer, hepatectomy

Reprint requests
Susumu Yamaguchi Department of Surgery, St. Marianna University School of Medicine Toyoko Hospital
3-435 Kosugimachi, Nakahara-ku, Kawasaki, 211 JAPAN

Accepted
July 3, 1991

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