A case of intrahepatic multiple recurrence after MCT for HCC

Abstract

A 52-year-old man experienced open microwave coagulation therapy (MCT) for hepatocellular carcinoma (HCC) in S₅ of the cirrhotic liver related to HBV. Main tumor was 25 mm in diameter with an adjacent 20 mm satellite tumor. Continuous 5Fu-CDDP arterial infusion was required because of bilobar multiple recurrence 4 months after the open MCT. Fortunately, the patient is alive without disease 17 months after surgery under complete response to the arterial infusion chemotherapy. Although MCT is one of good choice for treatment of poor risk HCC patients, care should be taken not to mobilize the tumor and to add effective adjuvant chemotherapies especially in advanced cases.