Murakami Masahiro, Nagano Hiroaki, Kobayashi Shogo, Marubashi Shigeru, Noda Takehiro, Tomimaru Toshito, Takeda Yutaka, Tanemura Masahiro, Kitagawa Toru, Dono Keizo, Umeshita Koji, Wakasa Kenichi, Monden Morito, Doki Yuichiro, Mori Masaki
Dept. of Surgery, Graduate School of Medicine, Osaka University.
Gan To Kagaku Ryoho. 2008 Nov;35(12):2089-91.
A 74-year-old male was admitted to Osaka University Hospital for advanced hepatocellular carcinoma in April 2007. CT and MRI scan showed the tumor was located mainly in posterior segment and had portal vein tumor thrombus, and the wall of gall bladder was edematous and thick, but seemed not to be close to the main tumor. We performed an extended posterior segmentectomy, tumor thrombectomy and cholecystectomy. Pathological examination showed that poorly differentiated hepatocellular carcinoma cells, which were same as the main tumor, existed in lamina propria and muscle layer of gall bladder, and invaded the submucosal vessels. So we diagnosed it as gall bladder metastasis from hepatocellular carcinoma.
一名74岁男性于2007年4月因晚期肝细胞癌入住大阪大学医院。CT和MRI扫描显示肿瘤主要位于肝右后叶，并伴有门静脉癌栓，胆囊壁水肿增厚，但似乎与主要肿瘤不相邻。我们进行了扩大的肝右后叶切除术、肿瘤血栓清除术和胆囊切除术。病理检查显示，胆囊固有层和肌层存在与主要肿瘤相同的低分化肝细胞癌细胞，并侵犯了黏膜下血管。因此，我们将其诊断为肝细胞癌胆囊转移。
