右葉切除後の再発に対し再々切除をおこなった肝硬変合併肝癌の1例

概要

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A 61-year-old man who had hepatoma in the right lobe with liver cirrhosis underwent right hepatic lobectomy on June of 1980. Pathohistologically, the surgical specimen showed combined liver and bile duct carcinoma. Eighteen months later, he underwent partial hepatectomy of left lateral segment for the recurrence of hepatoma. This tumor was regarded as a multicentric carcinogenesis on account of pathohistology which showed clear cell type hepatoma. Further nine months later, he underwent third hepatectomy consisting of two partial resection of left lateral and medial segments for the recurrence in each segment. These tumors were regarded as a recurrence of hepatoma resected at the first operation because of pathohistology which showed combined liver and bile duct carcinoma. He is alive and well two years and five months after the first right hepatic lobectomy.<BR>A good result by hepatectomy for the recurrent hepatoma which was considered before to be noncurative is expected.
社団法人日本肝臓学会の論文