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Clinical and radiologic features of hepatocellular carcinoma originating in the caudate lobe
Author(s) -
Takayasu Kenichi,
Muramatsu Yukio,
Shima Yasuo,
Goto Hiroo,
Moriyama Noriyuki,
Yamada Tatsuya,
Makuuchi Masatoshi,
Kaneko Akihiro,
Itabashi Masayuki,
Shimamura Yoshiyuki
Publication year - 1986
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19861001)58:7<1557::aid-cncr2820580729>3.0.co;2-e
Subject(s) - medicine , caudate lobe , hepatocellular carcinoma , inferior vena cava , radiology , rib cage , lung , metastasis , carcinoma , angiography , lobe , cancer , pathology , anatomy , surgery , hepatectomy , resection
Five patients with hepatocellular carcinoma in the caudate lobe were evaluated. Computed tomography (CT) scan and/or angiography clearly demonstrated multiple intrahepatic metastases in four (80%), and tumor thrombi in the portal vein in two (40%), and in the inferior vena cava in one. Even though there was no recognizable lung metastasis, metastases were found in the orbita in one patient, and in the ribs and thoracic vertebrae in two patients. Four patients died after a mean period of 5.5 months from the initial diagnosis. The mechanism for early invasion into the vessels and multiple intrahepatic metastases of hepatocellular carcinoma arising from the caudate lobe is discussed.