[A Case of Hepatocellular Carcinoma with Simultaneous Bone Metastasis Successfully Treated with Multidisciplinary Therapy].

Q4 Medicine Japanese Journal of Cancer and Chemotherapy Pub Date : 2024-12-01
Toshihiko Goto, Susumu Sawada, Kunpei Ishida, Rina Ko, Yuta Iwasaki, Nozomu Nakanishi, Koshiro Morino, Norihiro Shimoike, Hirokazu Tanaka, Ryo Matsusue, Michihiro Yamamoto, Takafumi Machimoto
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Abstract

The patient was a 52-year-old male, who, after experiencing lower back pain, underwent further investigation and was diagnosed with hepatocellular carcinoma with sacral metastasis. The hepatocellular carcinoma was a 9 cm tumor with a risk of rupture. Liver resection was performed, and lenvatinib was initiated at a dose of 4 mg/day postoperatively. Radical radiation therapy was then administered to address bone metastases. Lenvatinib was discontinued after 15 months due to skin disorders. Seven months have passed since the discontinuation of lenvatinib and 2 years since surgery. The patient's condition has progressed without any recurrence.

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[1例肝细胞癌合并骨转移经多学科治疗成功]。
患者是一名52岁的男性,在经历了腰痛后,接受了进一步的检查,并被诊断为肝细胞癌伴骶骨转移。肝细胞癌是一个9厘米的肿瘤,有破裂的危险。进行肝切除术,术后开始使用lenvatinib,剂量为4mg /天。然后给予根治性放射治疗以解决骨转移。Lenvatinib因皮肤疾病在15个月后停用。lenvatinib停药7个月,手术2年。病人的病情有进展,没有复发。
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