Abstract
We report a case of hepatocellular carcinoma with Child-Pugh A class liver disease associated with marked retention on the ICG test (retention rate at 15 min [R15], 74.9%). A 66-year-old man was admitted to our hospital with the chief complaint of right shoulder pain. Abdominal CT and MRI showed two tumors, one measuring 11.5 cm in diameter located in segment 5-7-8, and the other measuring 1.3 cm in diameter located in segment 6. After transcatheter arterial chemoembolization, right hepatectomy with resection of the diaphragm was performed, without postoperative complications. In HCC patients with constitutional ICG excretory defect, which is defined as a disproportionately high ICG R15, the treatment decision may be difficult. It is important to estimate the preoperative liver function by other examinations and determine the extent of surgical resection for radical operation without facile abandonment of surgical treatment.
