A Longtime-Survived Case of Double Cancer in the Liver Treated with Microwave Coagulation Therapy and Hepatectomy

Yoshikatsu Koga¹⁾, Toru Beppu¹⁾, Takatoshi Ishiko¹⁾, Koichi Doi¹⁾, Teishi Matsuda¹⁾, Shogo Nakano¹⁾, Koei Ikeda¹⁾²⁾, Ichiro Kawano¹⁾, Masahiko Hirota¹⁾ and Hiroshi Egami¹⁾

Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University¹⁾
Department of Surgical Pathology, Kumamoto University Hospital²⁾

We reported a case of double hepatic cancer with type C liver cirrhosis. A 69-year-old man was admitted to treat the liver tumors, a 60 mm tumor in segment 6 and a 15 mm tumor in segment 8. The S6 tumor showed early enhancement with delayed wash-out and the S8 tumor enhancement from the early to late phases. Serum PIVKA-II was elevated at 2,640 AU/ml. Liver damage was grade B. He was treated with transcatheter arterial chemo-embolization to shrink the S6 tumor and then with microwave coagulation, and underwent hepatectomy for the S8 tumor. The S6 tumor was diagnosed histologically as hepatocellular carcinoma and the S8 tumor as cholangiocellular carcinoma. The man remains well and free of tumor recurrence 51 months after therapy.

Key words
hepatocellular carcinoma, cholangiocellular carcinoma, double cancer

Reprint requests
Yoshikatsu Koga Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
1-1-1 Honjo, Kumamoto, 860-8556 JAPAN

Accepted
November 30, 2004

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