Successful en bloc resection of recurrent XXXX directly invading the abdominal wall: a case report.

@entity1 @entity5 @entity189 @entity490 @entity157
INTRODUCTION: Repeat hepatic resection has previously been reported as the most effective treatment for recurrence of @entity189 . To the best of our knowledge, en bloc resection of recurrent @entity157 directly invading the abdominal wall has not been previously reported. CASE PRESENTATION: In September 2012, a 64-year-old Chinese male @entity1 was referred to our hospital because of primary @entity157 located in Couinaud's segments III and V. Our @entity1 first had a hepatectomy of the liver. Ten months later, he presented with an abdominal wall mass and upper @entity490 . Computed tomography and magnetic resonance imaging scans demonstrated a 10cm @entity5 in his left liver with extrahepatic metastases in his abdominal wall. It was determined that he had recurrent @entity157 associated with direct invasion into his abdominal wall. He had an en bloc left hepatectomy with resection of the @entity5 in his abdominal wall. A pathological examination of the resected specimen confirmed the diagnosis of @entity157 involving the abdominal wall. Disease-free margins of resection were achieved. Our @entity1 's postoperative course was uneventful. Eight months after the last surgery, our @entity1 died owing to recurrence and distal metastasis. CONCLUSION: Direct invasion of @entity157 into the abdominal wall is rarely encountered. Complete surgical resection should be considered in @entity1 with an appropriate hepatic functional reserve, with consideration of the technical difficulty relating to @entity5 involvement with surrounding tissues.
