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A 78-year-old man with liver cirrhosis was foundto have multiple hepatocellular carcinomas (HCCs)and underwent 3 sessions of transcatheter arterialchemoembolization. Fourteen months after diagnosis,the patient presented with left hemiparesis. Contrast-enhanced magnetic resonance imaging showed multiplemetastases with ring-shaped enhancement in thecerebrum and cerebellum. There were no metastases toother organs. The metastatic lesions almost completelydisappeared after whole-brain radiotherapy with atotal dose of 50 Gy. Neurologic symptoms decreased,and the patient’s quality of life improved. The patientunderwent 2 more sessions of transcatheter arterialchemoembolization. Twelve months after the diagnosisof brain metastasis, the patient remains alive. Thepresent case indicates that radiotherapy can improvequality of life and prolong survival in some patients withbrain metastases from HCCs.
A 78-year-old man with liver cirrhosis was found to have multiple hepatocellular carcinomas (HCCs) and underwent 3 sessions of transcatheter arterialchemoembolization. Fourteen months after diagnosis, the patient presented with left hemiparesis. Contrast-enhanced magnetic resonance imaging showed multiple metastases with ring- The enhancement of the cerebrum and cerebellum. There are no metastases to other organs. The metastatic lesions almost completely is missing after whole-brain radiotherapy with atotal dose of 50 Gy. Neurologic symptoms decreased, and the patient’s quality of life improved. The patientunderwent 2 more sessions of transcatheter Twelve months after the diagnosis of brain metastasis, the patient remains alive. Thepresent case indicates that radiotherapy can improvequality of life and prolong survival in some patients withbrain metastases from HCCs.