Wound recurrence after resection of hepatocellular carcinoma

✍ Scribed by Koffi, Eric ;Moutardier, Vincent ;Sauvanet, Alain ;Noun, Roger ;Fléjou, Jean François ;Belghiti, Jacques

• Publisher: Wiley (John Wiley & Sons)
• Year: 1996
• Tongue: English
• Weight: 227 KB
• Volume: 2
• Category: Article
• ISSN: 1074-3022
• DOI: 10.1002/lt.500020409

✦ Synopsis

Cutaneous metastases arising along the exit site of an abdominal drain in one patient and within the operative wound in two others after resection of a hepatocellular carcinoma (HCC) are reported. All patients underwent curative hepatic resection, and cutaneous metastases occurred 9,12, and 22 months after surgery respectively. Cutaneous metastases were not associated with intrahepatic recurrence and were treated by local excision. Two patients are alive and disease-free 48 and 49 months after hepatic resection, respectively; the third patient died from recurrence 39 months later. These observations suggest that cutaneous utaneous metastases from hepatocellular carci-C noma (HCC) can be related either to local or systemic dissemination. Local dissemination along the biopsy tract has been reported. 1-4 Although malignant seeding along the tract of abdominal drainage or within the surgical wound have been reported after surgical resection of various abdominal tumors, cutaneous metastases after resection of HCC have not to our knowledge been previously de-~c r i b e d . ~, ~-'

We report herein three patients with cutaneous metastases after resection of HCC.