Hepatectomy for rapidly growing solitary liver metastasis from non-small cell lung cancer: a case report
Abstract Background Patients with liver metastasis from non-small lung cancer (NSCLC) usually have multiple metastases at other sites and thus rarely undergo liver surgery. We present a case involving successful resection of rapidly growing liver metastasis from squamous cell carcinoma of the lung....
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SpringerOpen
2019-05-01
|
Series: | Surgical Case Reports |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s40792-019-0633-6 |
_version_ | 1819327108958126080 |
---|---|
author | Hiroyuki Hakoda Yasuharu Sekine Hideo Ichimura Kazumitsu Ueda Shigeo Aoki Hideyuki Mishima Akihiro Sako Keisuke Kobayashi Akiko Sakata Yukio Sato |
author_facet | Hiroyuki Hakoda Yasuharu Sekine Hideo Ichimura Kazumitsu Ueda Shigeo Aoki Hideyuki Mishima Akihiro Sako Keisuke Kobayashi Akiko Sakata Yukio Sato |
author_sort | Hiroyuki Hakoda |
collection | DOAJ |
description | Abstract Background Patients with liver metastasis from non-small lung cancer (NSCLC) usually have multiple metastases at other sites and thus rarely undergo liver surgery. We present a case involving successful resection of rapidly growing liver metastasis from squamous cell carcinoma of the lung. Case presentation A 74-year-old man had undergone left lower lobectomy for squamous cell carcinoma of the lung, which was diagnosed pathologically as stage IA. A computed tomography (CT) scan that was taken 12 months after lung resection showed an irregularly shaped mass lesion (size, 8.3 cm) in segment five of the liver. Retrospectively, the mass was identifiable on CT 6 months before this initial recognition. Although the lesion showed rapid growth, positron emission tomography and brain magnetic resonance imaging ruled out the possibility of other metastatic lesions. Therefore, we performed right hepatectomy 14 months after the initial lung surgery. The patient was pathologically diagnosed with liver metastasis from lung cancer and has remained free from recurrence 41 months after the liver surgery, without receiving any adjuvant chemotherapy. Conclusions Although there is no reliable clinical indicator for selecting oligo-recurrence, hepatectomy could be an option for solitary liver metastasis from NSCLC for patients who are in good health. |
first_indexed | 2024-12-24T13:05:36Z |
format | Article |
id | doaj.art-6a7af095c18a4a458b2ec7165be0ae38 |
institution | Directory Open Access Journal |
issn | 2198-7793 |
language | English |
last_indexed | 2024-12-24T13:05:36Z |
publishDate | 2019-05-01 |
publisher | SpringerOpen |
record_format | Article |
series | Surgical Case Reports |
spelling | doaj.art-6a7af095c18a4a458b2ec7165be0ae382022-12-21T16:54:01ZengSpringerOpenSurgical Case Reports2198-77932019-05-01511510.1186/s40792-019-0633-6Hepatectomy for rapidly growing solitary liver metastasis from non-small cell lung cancer: a case reportHiroyuki Hakoda0Yasuharu Sekine1Hideo Ichimura2Kazumitsu Ueda3Shigeo Aoki4Hideyuki Mishima5Akihiro Sako6Keisuke Kobayashi7Akiko Sakata8Yukio Sato9Department of Surgery, Hitachi General HospitalDepartment of Thoracic Surgery, Hitachi General HospitalDepartment of Thoracic Surgery, Hitachi General HospitalDepartment of Surgery, Hitachi General HospitalDepartment of Surgery, Hitachi General HospitalDepartment of Surgery, Hitachi General HospitalDepartment of Surgery, Hitachi General HospitalDepartment of Thoracic Surgery, Hitachi General HospitalDepartment of Pathology, Hitachi General HospitalDepartment of Thoracic Surgery, Faculty of Medicine, University of TsukubaAbstract Background Patients with liver metastasis from non-small lung cancer (NSCLC) usually have multiple metastases at other sites and thus rarely undergo liver surgery. We present a case involving successful resection of rapidly growing liver metastasis from squamous cell carcinoma of the lung. Case presentation A 74-year-old man had undergone left lower lobectomy for squamous cell carcinoma of the lung, which was diagnosed pathologically as stage IA. A computed tomography (CT) scan that was taken 12 months after lung resection showed an irregularly shaped mass lesion (size, 8.3 cm) in segment five of the liver. Retrospectively, the mass was identifiable on CT 6 months before this initial recognition. Although the lesion showed rapid growth, positron emission tomography and brain magnetic resonance imaging ruled out the possibility of other metastatic lesions. Therefore, we performed right hepatectomy 14 months after the initial lung surgery. The patient was pathologically diagnosed with liver metastasis from lung cancer and has remained free from recurrence 41 months after the liver surgery, without receiving any adjuvant chemotherapy. Conclusions Although there is no reliable clinical indicator for selecting oligo-recurrence, hepatectomy could be an option for solitary liver metastasis from NSCLC for patients who are in good health.http://link.springer.com/article/10.1186/s40792-019-0633-6Metastatic liver tumorHepatectomyNon-small cell lung cancerOligo-metastasisOligo-recurrenceTumor doubling time |
spellingShingle | Hiroyuki Hakoda Yasuharu Sekine Hideo Ichimura Kazumitsu Ueda Shigeo Aoki Hideyuki Mishima Akihiro Sako Keisuke Kobayashi Akiko Sakata Yukio Sato Hepatectomy for rapidly growing solitary liver metastasis from non-small cell lung cancer: a case report Surgical Case Reports Metastatic liver tumor Hepatectomy Non-small cell lung cancer Oligo-metastasis Oligo-recurrence Tumor doubling time |
title | Hepatectomy for rapidly growing solitary liver metastasis from non-small cell lung cancer: a case report |
title_full | Hepatectomy for rapidly growing solitary liver metastasis from non-small cell lung cancer: a case report |
title_fullStr | Hepatectomy for rapidly growing solitary liver metastasis from non-small cell lung cancer: a case report |
title_full_unstemmed | Hepatectomy for rapidly growing solitary liver metastasis from non-small cell lung cancer: a case report |
title_short | Hepatectomy for rapidly growing solitary liver metastasis from non-small cell lung cancer: a case report |
title_sort | hepatectomy for rapidly growing solitary liver metastasis from non small cell lung cancer a case report |
topic | Metastatic liver tumor Hepatectomy Non-small cell lung cancer Oligo-metastasis Oligo-recurrence Tumor doubling time |
url | http://link.springer.com/article/10.1186/s40792-019-0633-6 |
work_keys_str_mv | AT hiroyukihakoda hepatectomyforrapidlygrowingsolitarylivermetastasisfromnonsmallcelllungcanceracasereport AT yasuharusekine hepatectomyforrapidlygrowingsolitarylivermetastasisfromnonsmallcelllungcanceracasereport AT hideoichimura hepatectomyforrapidlygrowingsolitarylivermetastasisfromnonsmallcelllungcanceracasereport AT kazumitsuueda hepatectomyforrapidlygrowingsolitarylivermetastasisfromnonsmallcelllungcanceracasereport AT shigeoaoki hepatectomyforrapidlygrowingsolitarylivermetastasisfromnonsmallcelllungcanceracasereport AT hideyukimishima hepatectomyforrapidlygrowingsolitarylivermetastasisfromnonsmallcelllungcanceracasereport AT akihirosako hepatectomyforrapidlygrowingsolitarylivermetastasisfromnonsmallcelllungcanceracasereport AT keisukekobayashi hepatectomyforrapidlygrowingsolitarylivermetastasisfromnonsmallcelllungcanceracasereport AT akikosakata hepatectomyforrapidlygrowingsolitarylivermetastasisfromnonsmallcelllungcanceracasereport AT yukiosato hepatectomyforrapidlygrowingsolitarylivermetastasisfromnonsmallcelllungcanceracasereport |