June 1986

Second Hepatoma Developing 13 Years After Resection of First Tumor

Author Affiliations

From the Departments of Surgery (Drs Ackerman, Nallathambi, and Patel), Pathology (Dr Panchacharam), and Gastroenterology (Dr Williams), Metropolitan Hospital Center and New York Medical College, New York.

Arch Surg. 1986;121(6):726-728. doi:10.1001/archsurg.1986.01400060122019

• A patient underwent a left-sided hepatic lobectomy for primary hepatocellular carcinoma 13 years ago and remained symptom free. He then presented with spontaneous rupture of a large tumor in the right lobe of the liver. Although this tumor proved to be primary hepatocellular carcinoma, there were significant histological differences between the two lesions, suggesting that this was a second primary liver tumor. Bleeding from the tumor was controlled by selectively ligating the branches supplying the area of hemorrhage.

(Arch Surg 1986;121:726-728)