A Case of Primary Hepatic Angiosarcoma after Renal Transplantation
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Junshik Hong, M.D.1, Jae Chan Park, M.D.1 , Young Sil Eom, M.D.1, Minjung Kim, M.D.2, Sanghui Park, M.D.2, Woo Kyung Chung, M.D.1, Yeon Ho Park, M.D.3, Jaeseok Yang, M.D.1 and Hyun Hee Lee, M.D.1 |
Department of Internal Medicine1 Department of Pathology2 Department of Surgery3 Gachon University of Medicine and Science, Incheon, Korea |
증례 : 신장이식 후 발생한 원발성 간 혈관육종 1예 |
홍준식1, 박재찬1, 엄영실1, 김민정2, 박상희2, 정우경1, 박연호3, 양재석1, 이현희1 |
가천의과학대학교 내과학교실1, 병리학교실2, 외과학교실3 |
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Abstract |
Malignancy is one of the important complications after renal transplantation, and decreases both patient survival and graft survival. Hepatic angiosarcoma is the most common sarcoma in liver, but a rare malignant tumor which occupies about 2% of all hepatic malignancies. We report a case of primary hepatic angiosarcoma after renal transplantation, the first case of post-transplantation angiosarcoma in Korea. A 27-year old man had received a living related renal transplantation. He was admitted due to clinical manifestations of liver cirrhosis such as ascites, spontaneous bacterial peritonitis, and varix bleeding at 8 months after transplantation. Whole liver was infiltrated with angiosarcoma; therefore, he was managed only by supportive care. Considering the poor prognosis of hepatic angiosarcoma, both careful screening of malignancy before transplantation and periodic surveillance of malignancy after transplantation are essential. |
Key Words:
Hemangiosarcoma, Kidney transplantation, Neoplasms |
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