Case ReportConcomitant Hepatolithiasis with Primary Hepatocellular Carcinoma: An innovative problem Hui Jiang1, Yu Zhang2, Jianguo Qiu3, Hong Wu4ABSTRACT Concomitant primary hepatocellular carcinoma with hepatolithiasis is a rare form. We present a case of left hepatolithiasis accompany with primary hepatocellular carcinoma of right lobe in a 62-year-old man, who underwent left lateral hepatectomy, cholecystectomy, common bile duct exploration and T-tube drainage 20 years ago for hepatolithiasis and gallstones. The tumor was detected during the follow-up for his residual hepatolithiasis. A right hemihepatectomy and common bile duct exploration and T-tube drainage was performed and left hepatolithiasis was remained for next operation to prevent hepatic failure. A histological examination of the specimen revealed typical features of hepatocellular carcinoma. This report describes staged management for patient with both benign and malignant hepatao-biliary disease.KEY WORDS: Hepatocellular carcinoma, Hepatolithiasis, LiverPak J Med Sci July - September 2012 Vol. 28 No. 4 742-744 How to cite this article: Jiang H, Zhang Y, Qiu J, Wu H. Concomitant Hepatolithiasis with Primary Hepatocellular Carcinoma: An innovative problem. Pak J Med Sci 2012;28(4):742-744
Although the arrangement of multidisciplinary team meetings (MDT) in China is comparable to that in European nations, there are numerous distinctive variations in China. First of all there is a lack of particular principles or recommendations for MDT in China. Consequently, it's not at all mandatory for many cancer sufferers to have MDT treatment. Secondly, you cannot assume all patients will get the benefit of MDT sessions because the number of patients in China is high. However, many major cancer centres undertake MDT therapy method without having reliable clues for conversation at MDT group meetings in various medical centers. Generally speaking, MDT remains in the developing phase in China [1, 2].