Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Brain Metastasis from Hepatocellular Carcinoma Treated with a Cyber-Knife
Atsushi HiraokaNorio HoriikeYohei KoizumiNayu TazuyaMisa IchiryuHiromasa NakaharaHironori OchiAtsushi TanabeHirokazu DoiAkihiro KodamaAki HasebeSoichi IchikawaYasunao MiyamotoTomoyuki NinomiyaAkinori AsagiHiroshi MatsubaraSeijin NadanoOsamu NishizakiMasakichi Umeda
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JOURNAL OPEN ACCESS

2008 Volume 47 Issue 22 Pages 1993-1996

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Abstract

A 70-year-old right-handed Japanese man who had undergone surgical resection for hepatocellular carcinoma (HCC) 2 years earlier was diagnosed with lung metastasis 3 months before consulting our hospital with a headache and visual field disturbance. Head computed tomography revealed a brain tumor with an intracerebral hemorrhage. Using 99mTc-PMT (pyridoxal-5-methly-triptophan) scintigraphy, we determined that the brain tumor was metastasis from the HCC and utilized the cyber-knife for treatment. The prognosis of patients with brain metastasis from HCC has been reported to be poor. Use of the cyber-knife was non-invasive, and proved to be effective for improving prognosis and quality of life.

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© 2008 by The Japanese Society of Internal Medicine
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