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Fontan手术后合并心源性肝硬化的肝细胞癌的手术切除

Surgical Resection for Hepatocellular Carcinoma with Cardiac Cirrhosis after the Fontan Procedure.

作者信息

Takuma Yoshitaka, Fukada Yuji, Iwadou Shota, Miyatake Hirokazu, Uematsu Shuji, Okamoto Ryoichi, Sato Daisuke, Matsukawa Hiroyoshi, Shiozaki Shigehiro, Kamada Masahiro, Morito Toshiaki, Araki Yasuyuki

机构信息

Department of Internal Medicine, Hiroshima City Hospital, Japan.

出版信息

Intern Med. 2016;55(22):3265-3272. doi: 10.2169/internalmedicine.55.6869. Epub 2016 Nov 15.

DOI:10.2169/internalmedicine.55.6869
PMID:27853067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5173492/
Abstract

A 29-year-old woman who underwent the Fontan procedure at 10 years of age had an incidental finding of liver masses on abdominal ultrasonography. Subsequent gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid magnetic resonance imaging showed a 15 mm hypervascular mass with washout in the hepatobiliary phase in liver segment 4 (S4), and an 18 mm hypervascular mass without washout in the hepatobiliary phase in liver segment 2 (S2). The S2 liver mass was pathologically diagnosed to be a regenerative nodule by an ultrasound-guided needle biopsy, and the S4 liver mass was pathologically diagnosed as a poorly differentiated hepatocellular carcinoma after partial hepatectomy.

摘要

一名10岁时接受Fontan手术的29岁女性在腹部超声检查时偶然发现肝脏肿块。随后的钆乙氧基苄基二乙三胺五乙酸磁共振成像显示，肝4段（S4）有一个15毫米的高血管性肿块，在肝胆期有廓清，肝2段（S2）有一个18毫米的高血管性肿块，在肝胆期无廓清。经超声引导下穿刺活检，S2肝脏肿块病理诊断为再生结节，S4肝脏肿块在肝部分切除术后病理诊断为低分化肝细胞癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/f38ae5c3f6ba/1349-7235-55-3265-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/de37eed1b213/1349-7235-55-3265-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/f0644f2ff321/1349-7235-55-3265-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/6cad18354177/1349-7235-55-3265-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/e48aed659484/1349-7235-55-3265-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/52e3bb8dd69e/1349-7235-55-3265-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/bfb253655872/1349-7235-55-3265-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/f38ae5c3f6ba/1349-7235-55-3265-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/de37eed1b213/1349-7235-55-3265-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/f0644f2ff321/1349-7235-55-3265-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/6cad18354177/1349-7235-55-3265-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/e48aed659484/1349-7235-55-3265-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/52e3bb8dd69e/1349-7235-55-3265-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/bfb253655872/1349-7235-55-3265-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a05/5173492/f38ae5c3f6ba/1349-7235-55-3265-g007.jpg

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本文引用的文献

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Transarterial embolization for pediatric hepatocellular carcinoma with cardiac cirrhosis.经动脉栓塞治疗小儿肝细胞癌合并心源性肝硬化
Pediatr Int. 2015 Aug;57(4):766-70. doi: 10.1111/ped.12619. Epub 2015 May 27.
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Anesthetic implications of extended right hepatectomy in a patient with fontan physiology.
机器人辅助腹腔镜肝切除术治疗伴有Fontan相关肝病的肝细胞癌：世界首例病例报告
Surg Case Rep. 2024 Sep 9;10(1):210. doi: 10.1186/s40792-024-02014-5.
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Clin J Gastroenterol. 2023 Aug;16(4):559-566. doi: 10.1007/s12328-023-01795-w. Epub 2023 Apr 12.
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A Case of Resection of Hepatocellular Carcinoma in a Patient With Fontan-Associated Liver Disease.1例Fontan相关肝病患者肝细胞癌切除术病例
Cureus. 2023 Jan 5;15(1):e33382. doi: 10.7759/cureus.33382. eCollection 2023 Jan.
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Combined hepatocellular carcinoma-cholangiocarcinoma in a patient with Fontan-associated liver disease.肝母细胞瘤-胆管细胞癌合并 Fontan 相关肝病患者。
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