Namkoong Kyung Young, Kang Myung Jin, Im Hong Mok, Kim Mi Sung, Ko Byung Sung, Ahn Hyun Taek, Lee Jong Riul, Kim Jong Ok
Department of Internal Medicine, Cheongju St. Mary's Hospital, Korea.
Korean J Hepatol. 2004 Jun;10(2):148-53.
Metastasis of hepatocellular carcinoma occurs at a relatively late stage of the disease. Hematogenous and lymphatic metastases are the most common routes for dissemination of tumor cells. Hepatocellular carcinoma also extends into the adjacent portal vein and bile ducts. Since there is no peritoneum between the body of the gallbladder and the liver fossa, gallbladder cancer can easily cross the boundary. Gallbladder invasion of hepatocellular carcinoma, however, is quite rare. We report a case of hepatocellular-cholangiocarcinoma in a non-cirrhotic liver that invaded the gallbladder mimicking the gallbladder carcinoma complicated by cholecystitis and liver abscess.
肝细胞癌转移发生在疾病的相对晚期。血行转移和淋巴转移是肿瘤细胞播散的最常见途径。肝细胞癌也可延伸至相邻的门静脉和胆管。由于胆囊体与肝床之间没有腹膜，胆囊癌很容易越过边界。然而，肝细胞癌侵犯胆囊相当罕见。我们报告一例非肝硬化肝脏的肝细胞胆管癌侵犯胆囊，酷似合并胆囊炎和肝脓肿的胆囊癌。
