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妊娠合并肝细胞癌的手术切除:病例报告。

Surgical resection for hepatocellular carcinoma in pregnancy: a case report.

机构信息

Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.

出版信息

Asian J Surg. 2012 Jul;35(3):124-6. doi: 10.1016/j.asjsur.2012.04.012. Epub 2012 May 22.

Abstract

Hepatocellular carcinoma (HCC) occurring in pregnancy is very rare. The prognosis is usually poor because of unclear clinical presentation. A 30-year-old woman who suffered from HCC during pregnancy underwent hepatectomy twice, and resection for pulmonary metastasis once. A healthy infant was delivered after the first hepatectomy. Currently, she remains disease free 55 months after the second hepatectomy and 39 months after pulmonary metastatectomy. Moreover, she had another healthy infant 37 months after pulmonary metastatectomy. Aggressive resection of recurrent HCC may prolong life, and pregnancy should not alter the treatment strategy for HCC.

摘要

妊娠期肝细胞癌(HCC)非常罕见。由于临床表现不明确,通常预后较差。一位 30 岁的女性在妊娠期间患有 HCC,接受了两次肝切除术和一次肺转移切除术。第一次肝切除术后成功分娩了一名健康婴儿。目前,第二次肝切除术后 55 个月和肺转移切除术后 39 个月后,她仍无疾病。此外,在肺转移切除术后 37 个月,她又生下了一个健康的婴儿。积极切除复发性 HCC 可能延长生命,而妊娠不应改变 HCC 的治疗策略。

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