颈脊髓压迫症：肝细胞癌的一种罕见表现
Cervical Spinal Cord Compression: A Rare Presentation of Hepatocellular Carcinoma.
作者信息
Ayyadurai Puvanalingam, Badipatla Kanthi Rekha, Chime Chukwunonso, Arjun Shiva, Reddy Pavithra, Niazi Masooma, Nayudu Suresh Kumar
机构信息
Department of Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA.
Department of Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA; Division of Gastroenterology, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA.
出版信息
Case Reports Hepatol. 2017;2017:8567695. doi: 10.1155/2017/8567695. Epub 2017 Feb 9.
Hepatocellular carcinoma (HCC) is the most common primary malignancy of liver. Distant metastasis to various organs is well known. Skeletal metastasis is also reported to various locations. Vertebral metastasis has been reported mostly to thoracic spine. However, cervical spinal cord involvement leading to cord compression has been reported very rarely in literature. We present a case of 58-year-old male with liver cirrhosis presenting as neck pain. Further work-up revealed metastatic HCC to cervical spinal cord resulting in acute cord compression. Patient has been treated with neurosurgical intervention.
肝细胞癌（HCC）是肝脏最常见的原发性恶性肿瘤。远处转移至各个器官是众所周知的。骨骼转移也有报道发生在不同部位。脊柱转移大多报道发生在胸椎。然而，文献中很少报道颈椎脊髓受累导致脊髓受压的情况。我们报告一例58岁男性肝硬化患者，以颈部疼痛为表现。进一步检查发现颈椎脊髓转移性HCC导致急性脊髓受压。患者接受了神经外科干预治疗。
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