Author(s)

Haruchika Yamamoto¹, Yuji Hirami¹, Tomohiro Toji², Yoko Shinno², Tetsuya Ota³, Minoru Naito³, Akio Andou¹

¹Department of General Thoracic Surgery, National Hospital Organization Okayama Medical Center, Okayama, Japan.
²Department of Pathology, National Hospital Organization Okayama Medical Center, Okayama, Japan.
³Department of General and Gastroenterological Surgery, National Hospital Organization Okayama Medical Center, Okayama, Japan.

Hepatocellular Carcinoma (HCC) rarely metastasizes to bone or mediastinum. In some patients, surgical treatment of oligometastatic lesions from colorectal cancer, breast cancer, or non-small cell lung cancer results in satisfactory survival. However, data concerning oligometastatic lesions from HCC are scarce. We report the case of a patient with long-term survival after resection of metachronous oligometastases of HCC. A 54-year-old woman underwent hepatic resection for non-B, non-C HCC. A solitary left tenth rib tumor was detected 20 months after initial surgery and was surgically resected. A solitary mediastinal tumor was detected 6 months after the second operation and the patient again underwent surgical resection. Histopathological examination of both lesions confirmed metastasis of HCC. The patient has had no further recurrence 7 years after initial surgery without chemotherapy or radiotherapy.

Hepatocellular Carcinoma, Mediastinal Metastases, Rib Metastases, Oligometastases

Yamamoto, H. , Hirami, Y. , Toji, T. , Shinno, Y. , Ota, T. , Naito, M. and Andou, A. (2016) Successful Surgical Treatment of Metachronous Oligometastases from Non-B, Non-C Hepatocellular Carcinoma. Open Journal of Thoracic Surgery, 6, 7-11. doi: 10.4236/ojts.2016.62002.