Should Metastasectomy Be Performed Before Other Treatments?

Primary HCC is a major cancer related to HBV viral infection in Asian countries, including Japan. Recently, the primary liver cancers are successfully treated by surgical resection including liver transplantation and non-surgical locoregional therapy. Although infrequently, extrahepatic spread to the lungs occurs. So-called lung metastasis from liver cancer is a dilemma, because it is often believed that diseases are very advanced and too late for adequate treatment.

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