Unresectable hepatocellular carcinoma after Fontan surgery: A case report Article Swipe
Satoru Hagiwara
,
Kazuomi Ueshima
,
Naoshi Nishida
,
Hiroshi Ida
,
Kosuke Minaga
,
Yasunori Minami
,
Masahiro Takita
,
Tomoko Aoki
,
Masahiro Morita
,
Hirokazu Chishina
,
Takuya Matsubara
,
Naoya Omaru
,
Noboru Inamura
,
Masatoshi Kudo
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.2957/kanzo.64.567
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.2957/kanzo.64.567
症例は30代男性．幼少期に完全大血管転位III型に対してFontan手術が施行され，近医に定期的に通院していた．20XX年7月腹部USで多発肝腫瘤を指摘され当院紹介受診となった．造影CTにて最大13 cmの多発肝細胞癌と判明した（BCLC stage B）．画像上は門脈圧亢進所見や明らかな肝形態異常を認めなかったが，肝生検でCongestive Hepatic Fibrosis Score 3であり，実際には線維化の進展を認めていた．肝内多発のため外科手術やRFAの適応外であった．また最大径の腫瘍は肝外に突出しており，腹腔内破裂の危険性もあることから，まずTACEを施行した．再発に応じて各種抗癌剤治療を行い，生存中である．画像上は肝線維化を示唆する所見はなかったが，Fontan術後の特殊な循環動態では，肝線維化が進展している可能性があり，本症例を通して肝癌サーベイランスの重要性を再考する．
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.2957/kanzo.64.567
- https://www.jstage.jst.go.jp/article/kanzo/64/11/64_567/_pdf
- OA Status
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- References
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- Related Works
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4388554519Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.2957/kanzo.64.567Digital Object Identifier
- Title
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Unresectable hepatocellular carcinoma after Fontan surgery: A case reportWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-11-01Full publication date if available
- Authors
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Satoru Hagiwara, Kazuomi Ueshima, Naoshi Nishida, Hiroshi Ida, Kosuke Minaga, Yasunori Minami, Masahiro Takita, Tomoko Aoki, Masahiro Morita, Hirokazu Chishina, Takuya Matsubara, Naoya Omaru, Noboru Inamura, Masatoshi KudoList of authors in order
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https://doi.org/10.2957/kanzo.64.567Publisher landing page
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https://www.jstage.jst.go.jp/article/kanzo/64/11/64_567/_pdfDirect link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://www.jstage.jst.go.jp/article/kanzo/64/11/64_567/_pdfDirect OA link when available
- Concepts
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Medicine, Internal medicine, Cardiology, Fontan procedure, Heart diseaseTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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24Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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