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  • Title: [A long-term survival case of postoperative lymph node metastases from hepatocellular carcinoma treated with lymph node dissection and percutaneous isolated hepatic perfusion (PIHP)].
    Author: Tsugawa D, Fukumoto T, Kusunoki N, Tsuchida S, Sendo H, Kido M, Takahashi M, Takebe A, Awazu M, Kataoka Y, Matsumoto I, Ajiki T, Hori Y, Suzuki S, Kuroda D, Ku Y.
    Journal: Gan To Kagaku Ryoho; 2010 Nov; 37(12):2312-4. PubMed ID: 21224557.
    Abstract:
    We report a long-term survival case of hepatocellular carcinoma (HCC) with recurrence in the liver and multiple lymph nodes treated with lymph node dissection and percutaneous isolated hepatic perfusion (PIHP). The patient was a 70-year-old man with HCC. In 1999, transcatheter arterial chemoembolozation (TACE) was performed for HCCs. In 2000, partial hepatectomy was achieved for a recurrence in the liver. In 2002, CT scan disclosed multiple lymph node metastases around the hepatic artery and the recurrence in the liver. We performed a lymph node dissection and radio-frequency ablation for the hepatic tumor. After the operation, PIHP was performed for residual lymph node metastases. Then, a recurrence in the liver occurred 3 times, but was treated successfully with local therapy. The patient survives for 10 years after the initial therapy, and 8 years after a lymph node dissection.
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