Hashimoto Kazuhiko, Sasaki Yo, Yokoyama Shigekazu, Hiraki Masayuki, Matsumoto Shinji, Tokuoka Masayoshi, Matsuyama Jin, Morita Shunji, Morimoto Takashi, Fukushima Yukio, Nomura Takashi, Takeda Masashi
Dept. of Surgery, Yao Municipal Hospital.
Gan To Kagaku Ryoho. 2010 Nov;37(12):2664-6.
A 40s woman, who had undergone hepatic resection twice for hepatocellular carcinoma (HCC), was admitted to our hospital because of a tumor with pain on the right 9th rib. From the findings of chest computed tomography (CT), abdominal CT and bone scintigraphy, we diagnosed the rib metastasis of HCC without any other recurrences. Local resection of the right 9th rib was performed in July 2008. Histologically, the tumor of the rib was diagnosed as the metastasis of HCC. The patient's pain on the right rib was disappeared after the operation. After the rib resection, the recurrence of the remnant of the right 9th rib occurred in June 2009. Local resection of the rib was performed in July 2009. Afterward, the recurrence of the remnant of the right 9th rib occurred again in April 2010. Local resection of the tumor of the same rib was performed in May 2010. The patient is still alive five years after the first hepatectomy. For HCC patients whose intrahepatic lesion or other metastatic lesions are controllable and the metastatic bone lesion is solitary and easily resectable, a resection for bone metastasis from HCC is thus locally effective in patient's pain control.
一名40多岁的女性，因肝细胞癌（HCC）接受过两次肝切除术，因右侧第9肋骨处出现伴有疼痛的肿瘤而入住我院。根据胸部计算机断层扫描（CT）、腹部CT和骨闪烁显像的结果，我们诊断为HCC肋骨转移，无其他复发情况。2008年7月对右侧第9肋骨进行了局部切除。组织学检查显示，肋骨肿瘤被诊断为HCC转移。术后患者右侧肋骨疼痛消失。肋骨切除术后，右侧第9肋骨残端于2009年6月复发。2009年7月再次对肋骨进行了局部切除。此后，右侧第9肋骨残端于2010年4月再次复发。2010年5月对同一肋骨的肿瘤进行了局部切除。首次肝切除术后五年，该患者仍然存活。因此，对于肝内病变或其他转移病变可控且转移性骨病变为孤立且易于切除的HCC患者，HCC骨转移切除术在控制患者疼痛方面具有局部疗效。
