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经皮肝穿刺活检后肝细胞癌针道转移的肝移植术后表现

Post liver transplant presentation of needle-track metastasis of hepatocellular carcinoma following percutaneous liver biopsy.

作者信息

Joyce Daniel, Falk Gavin A, Gandhi Namita, Hashimoto Koji

机构信息

Department of General Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

Department of Radiology, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

出版信息

BMJ Case Rep. 2014 Jun 9;2014:bcr2013010076. doi: 10.1136/bcr-2013-010076.

Abstract

Hepatocellular carcinoma (HCC) is one of the few malignant tumours often treated without prior histological confirmation (in the patient with cirrhosis). Contrast-enhanced cross-sectional imaging is frequently diagnostic of HCC with a high degree of accuracy. However, on occasion, a liver biopsy is required, a complication of which can be needle-track metastasis. We present the case of a 57-year-old man who had previously undergone a liver transplant; he was found to have abdominal wall metastasis at the site of a prior percutaneous biopsy. This is the second case until now date of needle-track metastasis that presented following liver transplantation.

摘要

肝细胞癌(HCC)是少数几种常在未进行组织学确诊的情况下(针对肝硬化患者)进行治疗的恶性肿瘤之一。对比增强横断面成像对HCC的诊断准确性通常很高。然而,有时需要进行肝脏活检,其并发症可能为针道转移。我们报告了一例57岁男性患者的病例,该患者此前接受过肝移植;他在先前经皮活检部位被发现有腹壁转移。这是迄今为止第二例肝移植后出现针道转移的病例。

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本文引用的文献

1
Management of hepatocellular carcinoma: an update.肝细胞癌的管理:最新进展
Hepatology. 2011 Mar;53(3):1020-2. doi: 10.1002/hep.24199.
8
Management of hepatocellular carcinoma.肝细胞癌的管理
Hepatology. 2005 Nov;42(5):1208-36. doi: 10.1002/hep.20933.

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