Sone Y, Imaeda T, Suzuki M, Yamawaki Y, Hirota K, Gotoh H, Seki M, Iinuma G, Doi H, Kawada K
Dept. of Radiology, Medicine, Gifu Univ. School of Med.
Gan No Rinsho. 1989 May;35(6):756-60.
A 64-year-old male, who had been diagnosed as having hepatocellular carcinoma, was admitted to hospital and underwent transcatheter arterial infusion therapy. CT and US examinations revealed a large tumor with air in its center. Barium meal examination of the duodenum showed a large filling defect with a central excavation. At endoscopic examination, a dark reddish tumor was seen protruding into the duodenal lumen. A biopsy specimen from this tumor revealed a hepatocellular carcinoma. The patient subsequently died of hepatic coma following gastrointestinal bleeding. An autopsy revealed that metastatic lymph nodes had infiltrated into the adjacent duodenum. Nine previous cases of duodenal metastasis from a hepatocellular carcinoma have been reported in the Japanese literature.
一名64岁男性，此前被诊断为肝细胞癌，入院后接受了经导管动脉灌注治疗。CT和超声检查显示中心有气体的巨大肿瘤。十二指肠钡餐检查显示巨大充盈缺损伴中央龛影。内镜检查时，可见暗红色肿瘤突入十二指肠腔。该肿瘤活检标本显示为肝细胞癌。患者随后因胃肠道出血死于肝昏迷。尸检显示转移性淋巴结已浸润至相邻十二指肠。日本文献中已报道过9例肝细胞癌十二指肠转移的病例。
