Radio Frequency Ablation Therapy on a Case of Metastatic Lung Cancer Originating Hepatocellular Carcinoma: Case Report

Shigehiro Kure, Soichiro Inoue, Katsumi Koshikawa, Takamasa Tokoro, Tomohiro Deguchi, Tetsuya Kaneko, Shin Takeda and Akimasa Nakao

Department of Surgery II, Graduate School and Faculty of Medicine, University of Nagoya

A 67-year-old male who had undergone left hepatectomy for hepatocellular carcinoma, irradiation and TAE for pulmonary hilar lymph node metastasis, and partial lung resection for lung metastasis, was admitted to undergo splenectomy for splenic metastasis. On admission, a new solitary lung metastasis lesion was detected in segment 3 of the left lung, and 18 days after splenectomy, percutaneous radiofrequency ablation (RFA) therapy under CT guidance was performed very safely on the pulmonary metastasis. No thoracic drainage was needed, and 6 days later, the patient was discharged ambulatory. CT on postoperative day 28 revealed necrotic change in the tumor and a lower serum AFP value.

Key words
radio frequency ablation therapy, lung metastasis, hepatocellular carcinoma

Reprint requests
Shigehiro Kure Department of Surgery II, Graduate School and Faculty of Medicine, University of Nagoya
65 Tsurumai-cho, Shouwa-ku, Nagoya 466-8550 JAPAN

Accepted
September 24, 2003

To read the PDF file you will need Abobe Reader installed on your computer.