Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Surg Today. 2011 Dec;41(12):1655-60. doi: 10.1007/s00595-011-4497-z. Epub 2011 Oct 4.
A 49-year-old woman was admitted to our hospital under suspicion of an enlarging hepatic tumor, which had been previously diagnosed to be a cavernous hemangioma. Computed tomography revealed three enhanced tumors, one measuring 15 cm in diameter within the right lobe of the liver and two intrahepatic metastases in Couinaud's hepatic segments 3 and 5. We diagnosed the patient to have primary liver cancer, and suspected a combined liver tumor preoperatively. We performed a right trisectionectomy with radiofrequency ablation of the intrahepatic metastasis in S3. According to the immunohistochemical findings of the resected specimen and the findings of postoperative imaging studies, the tumor was diagnosed to be a primary neuroendocrine tumor in the liver. The patient is presently alive without recurrence at 33 months after the operation.
一位 49 岁女性因疑似肝肿瘤增大而被收入我院，该肿瘤此前被诊断为海绵状血管瘤。计算机断层扫描显示三个增强肿瘤，一个位于肝右叶直径 15 厘米，两个肝内转移位于 Couinaud 的肝段 3 和 5。我们诊断为原发性肝癌，并怀疑术前为肝联合肿瘤。我们进行了右三叶切除术，并对 S3 的肝内转移进行射频消融。根据切除标本的免疫组化结果和术后影像学研究结果，肿瘤被诊断为原发性肝神经内分泌肿瘤。术后 33 个月，患者无复发，目前仍存活。
