Spontaneous Regression Of A Recurrent Hepatocellular Carcinoma.
Gómez Sanz, R., Moreno Gonzalez, E., Colina Ruiz-Delgado, F., Garcia-Muñoz, H., Ochando Cerdan, F., & Gonzalez-Pinto, I. (1998). spontaneous regression of a recurrent hepatocellular carcinoma. Digestive diseases and sciences, 43(2), 323–328. https://doi.org/10.1023/a:1018802321581
View Original Source →Case Details
Disease Location
Liver with multiple metastases
Personal Characteristics
66-year-old man, chronic hepatitis c virus and chronic gastritis, no history of alcohol consumption or blood transfusions
Clinical Characteristics
5- months history of pain in the right upper quadrant, normal pe. Ultrasonography disclosed a large (10-cm), solid, well-defined mass in the right liver lobe. CT confirmed the presence of the lesion. Microscopic study of fnab specimen confirmed the diagnosis of well-differentiated hcc. Laboratory tests showed positive HCV. The patient underwent surgical treatment. One year after surgery, the patient was readmitted with intense abdominal pain and painful masses at the level of both sternoclavicular joints. CT disclosed an undetermined number of intraabdominal masses (prerenal, retrogastric) suggesting recurrence of hcc. Fnab of the sternoclavicular lesions revealed the presence of hcc metastasis.
Remission Characteristics
The patient began to improve clinically and recover his appetite. The sternoclavicular lesions gradually disappeared and the abdominal pain remitted. Disappearance of the intraabdominal (confirmed by CT) and cutaneous masses in the sternoclavicular region 16 months after resection of the hcc
Treatment & Mechanisms
Proposed Remission Mechanisms
Possible immune mechanism
Clinical Treatment
Surgical treatment catheter-delivered morphine chloride, ketorolacotrometamole, amitripatientyline and levomepromazine s-adenosyl l-methionine