Arakawa Yusuke, Mori Hiroki, Ikegami Toru, Hanaoka Jun, Kanamoto Mami, Kanemura Hirofumi, Morine Yuji, Imura Satoru, Shimada Mitsuo
Department of Surgery, Institute of Health Biosciences, the University of Tokushima, 3-18-15 Kuramoto-cho, Tokushima, 770-8503, Japan.
Hepatogastroenterology. 2008 Sep-Oct;55(86-87):1770-2.
Spontaneous regression of a malignant tumor, including hepatocellular carcinoma, is extremely rare. A 78-year-old female with hepatitis B presented with a hepatocellular carcinoma, 3 cm in size, in the lateral segment. During her work-up before surgery, over the period of a month, the tumor started to show spontaneous regression from the radiological and biochemical studies. A lateral segmentectomy of the liver was performed, and the pathologic study showed complete necrosis of the tumor with vigorous inflammatory cellular infiltration. The patient is now doing well without any evidence of recurrence. We herein report a case with hepatocellular carcinoma showing spontaneous regression, and review the associated literature.
恶性肿瘤(包括肝细胞癌)的自发消退极为罕见。一名78岁的乙型肝炎女性患者,肝外侧段出现一个3厘米大小的肝细胞癌。在术前检查期间,经过一个月的时间,影像学和生化检查显示肿瘤开始出现自发消退。实施了肝外侧段切除术,病理研究显示肿瘤完全坏死,伴有大量炎性细胞浸润。患者目前情况良好,无任何复发迹象。我们在此报告一例肝细胞癌自发消退的病例,并对相关文献进行综述。