Yamashita N, Fukawa M, Imaizumi N, Matsumoto S, Tabuchi M, Hiroyoshi M, Kitahara K, Okushima K, Noda T
Department of Surgery, Karatsu Red Cross Hospital, Saga, Japan.
Surg Today. 1992;22(6):565-7. doi: 10.1007/BF00308906.
A 69-year-old woman was diagnosed as having hepatocellular carcinoma (HCC) with liver cirrhosis in October, 1984 and treated by transcatheter arterial embolization (TAE). In June, 1990 she was found to have a huge mass in the left hypochondrium which ultrasonography and computed tomography (CT) scan revealed to be a lett adrenal mass. A 99mTc pyridoxyl-5-methyl tryptophan (99mTC-PMT) hepatobiliary scintigraphy was positive and confirmed metastatic HCC. Although the adrenal mass was large, the HCC itself was controlled well with TAE. The adrenal mass was removed surgically in July, 1990 and the histological findings were compatible with HCC metastasized to the adrenal gland.
一名69岁女性于1984年10月被诊断为肝细胞癌（HCC）伴肝硬化，并接受了经导管动脉栓塞术（TAE）治疗。1990年6月，她被发现左季肋部有一巨大肿块，超声检查和计算机断层扫描（CT）显示为左肾上腺肿块。99m锝-吡哆醛-5-甲基色氨酸（99mTc-PMT）肝胆闪烁显像呈阳性，确诊为转移性HCC。尽管肾上腺肿块较大，但HCC本身通过TAE得到了很好的控制。1990年7月对肾上腺肿块进行了手术切除，组织学检查结果与转移至肾上腺的HCC相符。
