Gürcan ŞİMŞEK, Adil KARTAL, Ahmet TEKİN

Hepatocellular Carcinoma Recurring in the Opposite Lobe Nine Years After Regular Right Hepatectomy

Hepatoselüler karsinom (HCC) nedeni ile regüler sağ hepatektomi yapılan hastada takipleri esnasında nüks tespit edildi.Hastaya sol lateral segmentektomi operasyonu uygulandı. Sağ hepatektomi sonrası yapılan sol lateral segmentektomi neticesinde hasta yaşamını hipertrofiye uğramış segment 4 ile sürdürmektedir. Sağ hepatektomiden 9 yıl sonra karşı lopta nüks eden fibrolamellar HCC nin nüksten daha çok ikincil bir primer tümör olduğu kanısındayız. Hastaya ikinci rezeksiyon sonrasında herhangibir adjuvan ilaç verilmedi ve hastanın 36 aylık takibinde nükse rastlanmadı

Anahtar Kelimeler:

Hepatoselüler karsinom, tekrarlanan hepatektomi, fibrolamellar

Hepatocellular Carcinoma Recurring in the Opposite Lobe Nine Years After Regular Right Hepatectomy

A recurrence was detected in the remaining left lobe of a patient who underwent regular right hepatectomy 9 years ago because of HCC (hepatocellular carcinoma). Left lateral segmentectomy was performed on the patient. Following right and left hepatectomies, the patient survives with hyperthrophied segment IV. We think that the FHCC (fibrolamellar HCC) that recurred in the opposite lobe 9 years after is a secondary primary tumor. The patient received no adjuvant therapy after the second resection and no recurrences were seen in the remaining segment IV during the 36-month follow-up.

Keywords:

Hepatocelluler carcinoma, repeat hepatectomy, fibrolamellar,

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