Chikazawa H, Shibata J, Murata H, Yoshida K, Fujiyama S, Satoh T, Kako H, Takano S, Misumi A, Akagi M
3rd Dept. of Int. Med., Kumamoto Univ. Med. School.
Gan No Rinsho. 1990 May;36(6):758-62.
A 54-year-old man was admitted to our clinic for a further examination of rectal and liver tumors, after which a rectal cancer, a hepatocellular carcinoma (HCC), a hemangioma of the liver a retroperitoneal cyst, and a submucosal tumor of the stomach (SMT) were diagnosed by means of a colonoscopy, a gastroscopy, and US, CT, and angiography, these tests also revealing elevated CEA and AFP levels. A hepatic subsegmentectomy and a Miles's operation, as well as an enucleation of other liver tumors and an SMT, were performed and a retroperitoneal cyst was removed. The histopathological finding of the rectal cancer was a moderately differentiated adenocarcinoma, while the liver tumors were determined as being an HCC of the trabecular type, adenomatas revealing hyperplasia, a hemangioma, and the SMT showing a benign leiomyoblastoma.
一名54岁男性因直肠和肝脏肿瘤进一步检查入住我院,之后通过结肠镜检查、胃镜检查以及超声、CT和血管造影诊断出直肠癌、肝细胞癌(HCC)、肝血管瘤、腹膜后囊肿和胃黏膜下肿瘤(SMT),这些检查还显示癌胚抗原(CEA)和甲胎蛋白(AFP)水平升高。实施了肝亚段切除术和迈尔斯手术,以及其他肝脏肿瘤和SMT的摘除术,并切除了腹膜后囊肿。直肠癌的组织病理学检查结果为中度分化腺癌,而肝脏肿瘤被确定为小梁型HCC、显示增生的腺瘤、血管瘤,SMT显示为良性平滑肌瘤母细胞瘤。