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原发性肝绒毛膜癌:成人自发性血腹的罕见病因。

Primary hepatic choriocarcinoma: a rare cause of spontaneous haemoperitoneum in an adult.

作者信息

Bakhshi Girish D, Borisa Ashok D, Bhandarwar Ajay H, Tayade Mukund B, Yadav Rajesh B, Jadhav Yogesh R

机构信息

Dept of Surgery, Grant Medical College & Sir JJ Group of Hospitals, Mumbai, India.

出版信息

Clin Pract. 2012 Jul 13;2(3):e73. doi: 10.4081/cp.2012.e73. eCollection 2012 May 29.

Abstract

Choricarcinoma is a beta human chorionic gonadotrophin secreting neoplasm pertinent to uterus and pregnancy mostly. It occurs primarily in gonads but rarely in extragonadal sites. Primary hepatic choriocarcinoma is an extremely rare tumor. Most of the reported cases are seen in infants representing metastasis from an occult placental choriocarcinoma. Till date, only 7 cases of primary hepatic choriocarcinoma in adults have been reported in literature. We present a case of a 40-yearold male presenting as haemoperitoneum due to ruptured hepatic tumor. He underwent emergency left lateral segmentectomy. He died on 10(th) postoperative day. The surgical specimen and autopsy findings confirmed it to be primary hepatic choriocarcinoma. This is the first case report from Indian Subcontinent. A brief case report and review of literature is presented.

摘要

绒毛膜癌是一种主要分泌β-人绒毛膜促性腺激素的肿瘤,与子宫和妊娠相关。它主要发生在性腺,但很少发生在性腺外部位。原发性肝绒毛膜癌是一种极其罕见的肿瘤。大多数报道的病例见于婴儿,代表隐匿性胎盘绒毛膜癌的转移。迄今为止,文献中仅报道了7例成人原发性肝绒毛膜癌。我们报告一例40岁男性因肝肿瘤破裂导致腹腔积血。他接受了急诊左外侧段切除术。他在术后第10天死亡。手术标本和尸检结果证实为原发性肝绒毛膜癌。这是印度次大陆的首例病例报告。现给出简要病例报告并复习文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/550d/3981303/0e71c0671665/cp-2012-3-e73-g001.jpg

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