육종양 간세포암

Abstract

A 64-year-old male was admitted due to liver mass. He had a radical prostatectomy owing to prostate cancer 5 years ago. At that time, the liver mass was found on the right posterior superior segment and had enlarged to 7㎝ in diameter at Nov.2001. The transhepatic chemoemobolization with adriamycin 50㎎ and gelform was performed but the viable portions of tumor were remained. Total bilirubin was 0.7㎎/㎗, Albumin 2.9ｇ/㎗, AST/ALT 24/18 IU/L and AFP 60.31 nｇ/㎖. The ICG R15 was 6.2%. The right lobectomy of liver was done and the pathologic results were sarcomatoid hepatocellular carcinoma. The level of AFP was decreased 2 month after operation but the patient was dead 4 month after operation because of the metastasis to the right psoas muscle and suspected peritoneal seeding.