Ito Y, Uesaka Y, Takeshita S, Fujino H, Uta Y, Yasuda H, Oshima M, Kawabe T, Tagawa K, Unuma T
Department of Internal Medicine, Mitsui Memorial Hospital, Tokyo, Japan.
Gastroenterol Jpn. 1990 Dec;25(6):753-7. doi: 10.1007/BF02779191.
A 75-year-old woman was admitted to our hospital complaining of right hypochondrial pain. Echo sonography and computed tomography demonstrated a large tumor with irregular internal density in the right lobe of the liver. Angiography revealed a moderately hypervascular tumor. She was treated with transcatheter arterial embolization. Three weeks later, the tumor ruptured. She died of accompanying acute myocardial infarction seven months after the onset of the illness. Autopsy revealed primary fibrosarcoma of the liver. The tumor appearance varied from firm whitish to soft myxomatous. A part of the tumor showed hemorrhagic necrosis. There was no intrahepatic metastasis. The tumor tissue was composed of spindle shaped cells and immunohistochemically stained with vimentin.
一名75岁女性因右季肋部疼痛入院。超声心动图和计算机断层扫描显示肝脏右叶有一个内部密度不规则的大肿瘤。血管造影显示为中度高血管性肿瘤。她接受了经导管动脉栓塞治疗。三周后，肿瘤破裂。发病七个月后，她死于并发的急性心肌梗死。尸检显示为原发性肝纤维肉瘤。肿瘤外观从坚实的白色到柔软的黏液瘤样不等。肿瘤的一部分出现出血性坏死。无肝内转移。肿瘤组织由梭形细胞组成，免疫组化染色波形蛋白呈阳性。
