Solitary pulmonary metastasis arising thirteen years after liver transplantation for HBV-related hepatocellular carcinoma

doi:10.3748/wjg.v12.i30.4911

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Aug 14, 2006; 12(30): 4911-4913
Published online Aug 14, 2006. doi: 10.3748/wjg.v12.i30.4911

Solitary pulmonary metastasis arising thirteen years after liver transplantation for HBV-related hepatocellular carcinoma

Chiara Viola, Tarik Asselah, Didier Samuel, François Durand, Hamza Boudjema, Dominique Valla, Patrick Marcellin

Chiara Viola, Tarik Asselah, François Durand, Hamza Boudjema, Patrick Marcellin, Dominigue Valla, Service d'Hépatologie, INSERM CRB3, University of Paris VII, Hôpital, Beaujon, Clichy 92 110, France

Didier Samuel, Centre Hepatobiliary, UPRES 3541, Formation de recherche Claude Bernard Virus et Transplantation, Universite Paris-Sud, Hôpital Paul Brousse, Villejuif 94800, France

Author contributions: All authors contributed equally to the work.

Correspondence to: Tarik Asselah, Service d'Hépatologie, INSERM CRB3, University of Paris VII, Hôpital, Beaujon, Clichy 92 110, France. tarikasselah@hotmail.com

Telephone: +33-1-40875338 Fax: +33-1-47309440

Received: August 11, 2004
Revised: October 11, 2004
Accepted: December 14, 2004
Published online: August 14, 2006

Abstract

We described a 59-year-old male patient who underwent liver transplantation in 1989 for hepatocellular carcinoma (HCC) complicating hepatitis B virus (HBV) cirrhosis. In 2001 (12 years after liver transplantation), he developed a lung metastasis of HCC without intrahepatic recurrence and the resection was done. In July 2003, he was symptom free without any recurrence. HCC metastasis can develop even after a very long time of liver transplantation. Many HCCs grow slowly, and the growth rate of recurrent tumors in patients receiving immunosuppressive therapy is significantly greater than that of those who do not receive immunosuppressive therapy.

Keywords: Hepatitis B virus; Liver transplantation; Hepatocellular carcinoma; Metastasis; Immuno-suppression