Omura K, Kawaura Y, Murakami N, Morita K, Iwa T, Sasaki S
1st Dept. of Surgery, Kanazawa Univ. School of Med.
Gan No Rinsho. 1989 Oct;35(12):1448-52.
Described is a 57-year-old male with a complaint of a gait disturbance. On admission to hospital, he was suffering from almost complete paraplegia. Roentgenograms of the spine showed extensive destruction in the body of the second thoracic vertebra. Magnetic resonance computed tomography revealed a vertebral tumor that was compressing the vertebral cord. Thus, a laminectomy of the 1st to 3rd thoracic vertebra was performed to relieve the compression. Histological examination of the tumor showed it to be a metastatic vertebral tumor from a hepatocellular carcinoma (HCC). Subsequently, by abdominal computed tomography and an examination of the AFP serum level the existence of the HCC was confirmed. This is a very rare case of an HCC that was revealed by paraplegia caused by bone metastasis.
一位57岁男性因步态障碍前来就诊。入院时，他几乎完全截瘫。脊柱X线片显示第二胸椎椎体广泛破坏。磁共振计算机断层扫描显示有一个压迫脊髓的椎体肿瘤。因此，对第一至第三胸椎进行了椎板切除术以缓解压迫。肿瘤的组织学检查显示它是肝细胞癌（HCC）的转移性椎体肿瘤。随后，通过腹部计算机断层扫描和甲胎蛋白血清水平检查，证实了HCC的存在。这是一例非常罕见的因骨转移导致截瘫而发现肝细胞癌的病例。
