J Liver Cancer.  2016 Mar;16(1):52-56. 10.17998/jlc.2016.16.1.52.

A Case of Complete Response by Multidisciplinary Management in a Patient with Solitary Bone Metastasis after Curative Resection of Hepatocellular Carcinoma

• Hwang S
• Yang H
• Lee HL
• Jang JW
• Bae SH
• Choi JY
• Yoon SK

• KMID: 2198524
• DOI: http://doi.org/10.17998/jlc.2016.16.1.52

Abstract

Despite recent advances in the treatment of hepatocellular carcinoma (HCC), the prognosis of patients with extrahepatic metastasis from HCC still remains dismal. The current study presents a case of HCC that was metastatic to the pelvis and describes successful treatment with multidisciplinary approach to the skeletal metastasis. The patient was a 67-year-old male who presented with right pelvic pain 28 months following right hepatectomy for HCC. Computed tomography and magnetic resonance imaging indicated a solitary bone metastasis without intrahepatic recurrence. Complete response was achieved with multidisciplinary management including sorafenib, transarterial embolization, surgery to remove the metastatic mass and radiotherapy after surgery. A post-operative follow-up 15 months later found that the patient remained in good health with maintained complete response. This case suggests that a multidisciplinary approach can achieve long-term cancer-free survival and prolonged life expectancy beyond palliative care for patients with solitary bone metastasis after curative surgery for HCC.

Keyword

Hepatocellular carcinoma; Metastasis; Multidisciplinary management; Complete response; Prognosis

MeSH Terms

Aged
Carcinoma, Hepatocellular*
Follow-Up Studies
Hepatectomy
Humans
Life Expectancy
Magnetic Resonance Imaging
Male
Neoplasm Metastasis*
Palliative Care
Pelvic Pain
Pelvis
Prognosis
Radiotherapy
Recurrence