Lin H H, Liew C T, Liaw Y F
Liver Unit, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
J Gastroenterol Hepatol. 1990 May-Jun;5(3):362-4. doi: 10.1111/j.1440-1746.1990.tb01639.x.
Hepatocellular carcinoma may present in various ways, but only a few instances present with symptoms of distant metastases. This report describes a case of hepatocellular carcinoma presenting with acute haemothorax and haemorrhagic shock secondary to spontaneous rupture of chest wall metastasis. Hepatocellular carcinoma is a frequent malignancy in Asia and should be considered in the list of differential diagnosis of spontaneous haemothorax.
肝细胞癌可能以多种方式呈现，但仅有少数病例会出现远处转移的症状。本报告描述了一例肝细胞癌，该病例表现为急性血胸和因胸壁转移灶自发性破裂继发的失血性休克。肝细胞癌在亚洲是一种常见的恶性肿瘤，在自发性血胸的鉴别诊断清单中应予以考虑。
