Abstract
A 61-year-old male patient underwent resection of a metastasized lesion to the ribs from a hepatocellular carcinoma followed by partial resection of the liver including the primary lesion.
The patient complained of swelling and pain in the back, and a child-fist sized tumor locating at the right side of the 10th thoracic vertebra was palpated. Resection of the 9, 10, and 11th ribs combined with thoracic wall was performed, followed by radiation therapy. From histological examination, hepatocellular carcinoma was strongly suspected. Abdominal ultrasonography and CT were carried out, and a low density area 3 cm long was found in S5 of the liver. Partial resection of the liver and cannulation into the proper hepatic artery through the gastroduodenal artery were performed and an Edmondson grade II hepatocellular carcinoma was found by pathology.
Some cases of hepatocellular carcinoma with bone metastasis, if the primary lesion is small and in an early stage, can be expected to have favorable prognosis after resection. This case is also expected having good prognosis by aggresive resections followed by intensive therapy including radiation or chemotherapy.
