Huang Zhaoqin, Meng Xiangjiao, Liu Qingwei
Department of Radiology, Provincial Hospital, Affiliated to Shandong University, Shandong Province, China.
J Cancer Res Ther. 2015 Jul-Sep;11(3):665. doi: 10.4103/0973-1482.140806.
Sarcomatoid hepatocellular carcinoma is a rare disease with a poor prognosis. A 62-year-old man presented with 1-month history of middle-grade fever and fatigue in the background of loss of weight and a history of hepatitis B for 10 years. Dynamic contrast enhanced computed tomography showed two distinct irregular hypodense masses on precontrast scan located in hepatic segment VI and VII with size 6.7×4.7×4.5 cm and 1.9×1.3×1.6 cm. The patient underwent the right hepatectomy. Microscopic examination revealed that the large tumor was sarcomatoid hepatocellular carcinoma and the small tumor was early hepatocellular carcinoma.
肉瘤样肝细胞癌是一种预后较差的罕见疾病。一名62岁男性，有1个月中度发热和乏力病史，伴有体重减轻，有10年乙肝病史。动态对比增强计算机断层扫描显示，平扫时在肝VI段和VII段有两个明显的不规则低密度肿块，大小分别为6.7×4.7×4.5 cm和1.9×1.3×1.6 cm。患者接受了右肝切除术。显微镜检查显示，大肿瘤为肉瘤样肝细胞癌，小肿瘤为早期肝细胞癌。
