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Case Report

Living Donor Liver Re-Transplantation for Recurrent Hepatoblastoma in the Liver Graft following Complete Eradication of Peritoneal Metastases under Indocyanine Green Fluorescence Imaging

1
Department of Pediatric Surgery, Keio University School of Medicine, Tokyo 160-8582, Japan
2
Department of Pediatric Surgery, National Center for Child Health and Development, Tokyo 157-0074, Japan
3
Department of Pathology, Keio University School of Medicine, Tokyo 160-8582, Japan
4
Department of Surgery, Keio University School of Medicine, Tokyo 160-8582, Japan
5
Department of Pediatric Surgery and Transplantation, Kumamoto University Graduate School of Medical Sciences, Kumamoto 860-0862, Japan
6
Department of Pediatrics, Keio University School of Medicine, Tokyo 160-8582, Japan
7
Children’s Cancer Center, National Center for Child Health and Development, Tokyo 157-0074, Japan
8
Department of Pediatric Surgery, International University of Health and Welfare, Chiba 286-0048, Japan
*
Author to whom correspondence should be addressed.
Cancers 2019, 11(5), 730; https://doi.org/10.3390/cancers11050730
Received: 11 April 2019 / Revised: 16 May 2019 / Accepted: 25 May 2019 / Published: 26 May 2019
(This article belongs to the Special Issue Hepatoblastoma and Pediatric Liver Tumors)
The curability of chemotherapy-resistant hepatoblastoma (HB) largely depends on the achievement of radical surgical resection. Navigation techniques utilizing indocyanine green (ICG) are a powerful tool for detecting small metastatic lesions. We herein report a patient who underwent a second living donor liver transplantation (LDLTx) for multiple recurrent HBs in the liver graft following metastasectomy for peritoneal dissemination with ICG navigation. The patient initially presented with ruptured HB at 6 years of age and underwent 3 liver resections followed by the first LDLTx with multiple sessions of chemotherapy at 11 years of age. His alpha-fetoprotein (AFP) level increased above the normal limit, and metastases were noted in the transplanted liver and peritoneum four years after the first LDLTx. The patient underwent metastasectomy of the peritoneally disseminated HBs with ICG navigation followed by the second LDLTx for multiple metastases in the transplanted liver. The patient has been recurrence-free with a normal AFP for 30 months since the second LDLTx. To our knowledge, this report is the first successful case of re-LDLTx for recurrent HBs. Re-LDLTx for recurrent HB can be performed in highly select patients, and ICG navigation is a powerful surgical tool for achieving tumor clearance. View Full-Text
Keywords: hepatoblastoma; indocyanine green; living donor liver transplantation; transplant oncology hepatoblastoma; indocyanine green; living donor liver transplantation; transplant oncology
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MDPI and ACS Style

Takahashi, N.; Yamada, Y.; Hoshino, K.; Kawaida, M.; Mori, T.; Abe, K.; Fujimura, T.; Matsubara, K.; Hibi, T.; Shinoda, M.; Obara, H.; Isshiki, K.; Shima, H.; Shimada, H.; Kameyama, K.; Fuchimoto, Y.; Kitagawa, Y.; Kuroda, T. Living Donor Liver Re-Transplantation for Recurrent Hepatoblastoma in the Liver Graft following Complete Eradication of Peritoneal Metastases under Indocyanine Green Fluorescence Imaging. Cancers 2019, 11, 730. https://doi.org/10.3390/cancers11050730

AMA Style

Takahashi N, Yamada Y, Hoshino K, Kawaida M, Mori T, Abe K, Fujimura T, Matsubara K, Hibi T, Shinoda M, Obara H, Isshiki K, Shima H, Shimada H, Kameyama K, Fuchimoto Y, Kitagawa Y, Kuroda T. Living Donor Liver Re-Transplantation for Recurrent Hepatoblastoma in the Liver Graft following Complete Eradication of Peritoneal Metastases under Indocyanine Green Fluorescence Imaging. Cancers. 2019; 11(5):730. https://doi.org/10.3390/cancers11050730

Chicago/Turabian Style

Takahashi, Nobuhiro, Yohei Yamada, Ken Hoshino, Miho Kawaida, Teizaburo Mori, Kiyotomo Abe, Takumi Fujimura, Kentaro Matsubara, Taizo Hibi, Masahiro Shinoda, Hideaki Obara, Kyohei Isshiki, Haruko Shima, Hiroyuki Shimada, Kaori Kameyama, Yasushi Fuchimoto, Yuko Kitagawa, and Tatsuo Kuroda. 2019. "Living Donor Liver Re-Transplantation for Recurrent Hepatoblastoma in the Liver Graft following Complete Eradication of Peritoneal Metastases under Indocyanine Green Fluorescence Imaging" Cancers 11, no. 5: 730. https://doi.org/10.3390/cancers11050730

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