Case Report
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World J Gastroenterol. Mar 21, 2010; 16(11): 1422-1424
Published online Mar 21, 2010. doi: 10.3748/wjg.v16.i11.1422
Resection of a giant hepatocellular carcinoma weighing over ten kilograms
Ming-Chen Ba, Shu-Zhong Cui, Sheng-Qu Lin, Yun-Qiang Tang, Yin-Bing Wu, Xiang-Liang Zhang
Ming-Chen Ba, Shu-Zhong Cui, Sheng-Qu Lin, Yun-Qiang Tang, Yin-Bing Wu, Xiang-Liang Zhang, Department of Abdominal Surgery (Section II), Affiliated Tumor Hospital of Guangzhou Medical College, Guangzhou 510095, Guangdong Province, China
Author contributions: Ba MC and Cui SZ contributed equally to this work; Cui SZ, Ba MC, Tang YQ, Wu YB and Zhang XL performed the operation on the patient; Ba MC and Lin SQ wrote and revised the paper.
Supported by Department of Abdominal Surgery (Section II), Affiliated Tumor Hospital of Guangzhou Medical College, Guangdong, China
Correspondence to: Shu-Zhong Cui, MD, Department of Abdominal Surgery (Section II), Affiliated Tumor Hospital of Guangzhou Medical College, Guangzhou 510095, Guangdong Province, China. cuishuzhong@126.com
Telephone: +86-20-83509106  Fax: +86-20-83509106
Received: November 18, 2009
Revised: January 12, 2010
Accepted: January 19, 2010
Published online: March 21, 2010
Abstract

The authors report a giant hepatocellular carcinoma (HCC) with a diameter over 30 cm and weight over 10 kg that was resected completely. A 62-year-old man was admitted because of continuous abdominal uplift. A computed tomography scan demonstrated that the entire abdomen was filled with a giant tumor containing both cystic and solid components with a size of 29 cm × 22 cm. The huge tumor was successfully resected without any complication, such as massive hemorrhage or visceral injuries. The size and weight of the tumor were 35 cm × 30 cm × 15 cm and 10 050 g, respectively. Pathological examination showed that the tumor was a well-differentiated HCC, and α-fetoprotein was positive. Postoperative syndrome, characterized by hypovolemic shock, diarrhea and urine retention, was observed and induced by abdominal decompression. This syndrome was resolved with expectant treatment. The patient was still alive without recurrence after a 27-mo follow-up.

Keywords: Hepatocellular carcinoma; Histopathology; Imaging; Three-dimensional