Long-term survivor with hepatocellular carcinoma after laparoscopic microwave coagulation therapy

Abstract

A 69-year-old female affected of HCV-related cirrhosis in Child-Pugh classification A, developed a solitary hepatocellular carcinoma (HCC), 30mm in diameter. She had undergone laparoscopic microwave coagulation therapy (MCT). At 12 months later, two HCC nodules recurred in the liver were performed MCT and percutaneous ethanol injection therapy (PEIT), respectively. At 11 years later after the initial MCT, a solitary HCC was recurred in the liver again and treated by radiofrequency ablation (RFA). HCV-RNA has been undetectable during all this period. This case has been alive for 12 years after initial treatment.