TY - JOUR
T1 - A case of successful treatment of hepatocellular carcinoma lumbar metastasis by surgery, chemotherapy, and radiation
AU - Sugihara, Yuusaku
AU - Yano, Masahiko
AU - Cho, Tomonari
AU - Hayashi, Seiko
AU - Yamauchi, Akihiro
AU - Misawa, Masashi
AU - Mori, Yuich
AU - Miyachi, Hideyuki
AU - Okoshi, Shogo
AU - Kudo, Shin Ei
AU - Oshita, Yusuke
AU - Fujisawa, Toshikazu
PY - 2014/9/1
Y1 - 2014/9/1
N2 - The incidence of bone metastasis in patients with hepatocellular carcinoma (HCC) has reportedly been increasing. We report a progressive case that presented with a solitary HCC lumbar metastasis. A 44-year-old man was referred to us from a local clinic with a complaint of a painful lump. He was diagnosed with HCC due to liver cirrhosis and lumbar metastasis by contrast abdominal computerized tomography and magnetic resonance imaging. Then, he received radiation therapy (3 Gy/time; total, 39 Gy) and zoledronate. Furthermore, transcatheter arterial embolization and posterior lumbar spinal fusion were performed to treat the lumbar metastasis. This decreased his pain and oxycodone was no longer required. In conclusion, for HCC patients with bone metastasis, combined treatment with radiation, zoledronate, and surgery, may possibly improve their quality of life resulting in a long clinical course.
AB - The incidence of bone metastasis in patients with hepatocellular carcinoma (HCC) has reportedly been increasing. We report a progressive case that presented with a solitary HCC lumbar metastasis. A 44-year-old man was referred to us from a local clinic with a complaint of a painful lump. He was diagnosed with HCC due to liver cirrhosis and lumbar metastasis by contrast abdominal computerized tomography and magnetic resonance imaging. Then, he received radiation therapy (3 Gy/time; total, 39 Gy) and zoledronate. Furthermore, transcatheter arterial embolization and posterior lumbar spinal fusion were performed to treat the lumbar metastasis. This decreased his pain and oxycodone was no longer required. In conclusion, for HCC patients with bone metastasis, combined treatment with radiation, zoledronate, and surgery, may possibly improve their quality of life resulting in a long clinical course.
KW - Bone metastasis
KW - Hepatocellular carcinoma
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M3 - Article
C2 - 25248899
AN - SCOPUS:84914171389
SN - 0385-0684
VL - 41
SP - 1143
EP - 1145
JO - Japanese Journal of Cancer and Chemotherapy
JF - Japanese Journal of Cancer and Chemotherapy
IS - 9
ER -