Kim Tae Hun, Cheung Dae Young, Chung Woo Baek, Son Dong Kyun, Jo Don Hyoun, Chung Ji Sung, Kim Hyung Keun, Kim Jae Kwang, Sun Hee Sik, Kang Chang Suk
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Youngdeungpo-gu, Seoul, Korea.
Korean J Gastroenterol. 2004 Mar;43(3):215-8.
Although advances in imaging technology have allowed for earlier detection of disease, hepatocellular carcinoma is usually asymptomatic and discovered at an advanced stage with metastasis. The most common sites of metastasis include lung, peritoneum, adrenal gland, and bone, but rarely, the nasal cavity, orbit, gallbladder, and ovary can be metastatic sites. We experienced a case of metastatic hepatocellular carcinoma of the ovary in a living patient. The differential diagnosis includes hepatoid yolk sac tumor of the ovary, primary or metastatic hepatoid carcinoma and primary or metastatic oxyphil cell tumor of the ovary. To the best of our knowledge, there have been eight cases of metastatic hepatocellular carcinoma of the ovary in the English literature and only six cases discovered in living patients. This is the first report of a metastatic hepatocellular carcinoma of the ovary in Korea.
尽管成像技术的进步使得疾病能够更早被检测出来,但肝细胞癌通常没有症状,在出现转移的晚期阶段才被发现。最常见的转移部位包括肺、腹膜、肾上腺和骨骼,但鼻腔、眼眶、胆囊和卵巢很少成为转移部位。我们遇到了一例活体患者发生卵巢转移性肝细胞癌的病例。鉴别诊断包括卵巢肝样卵黄囊瘤、原发性或转移性肝样癌以及卵巢原发性或转移性嗜酸性细胞瘤。据我们所知,英文文献中已有8例卵巢转移性肝细胞癌的病例报道,其中仅6例是在活体患者中发现的。这是韩国首例卵巢转移性肝细胞癌的报告。