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A Case of Successful Treatment by Radiofrequency Ablation for Pulmonary Metastasis of Hepatocellular Carcinoma Jae Chan Park, M.D., Yun Soo Kim, M.D., Young Kul Jung, M.D., Myung Hee Kang, M.D., Oh Sang Kwon, M.D., Duck Joo Choi, M.D., Yang Suh Ku, M.D., Ju Hyun Kim, M.D. Department of Internal Medicine and Pathology, Gil Medical Center, Gachon University, Incheon, Korea Surgical resection or liver transplantation is a main curative modality for hepatocellular carcinoma (HCC). But nowadays local ablation therapy is being accepted as a useful option for local control therapy for HCC. Here we present a case of 59 years old male with hepatitis B virus related liver cirrhosis, who underwent surgery for HCC at S6 two years ago. He had received percutaneous ethanol injection (PEI), radiofrequency ablation (RFA) and multiple sessions of transarterial chemoembolization (TACE) for intrahepatic recurrences of HCC after surgery. A small radio-opaque lesion occurred at the left upper lobe of lung. Metastatic HCC was confirmed by CT-guided percutaneous needle core biopsy. CT-guided RFA for pulmonary metastasis was performed. Now it is been 11 months after the treatment without any recurrence.