Yokoyama N, Hirai T, Misumi T, Yoshizawa J, Hirai H, Soga H, Komatsubara S, Teramoto S
2nd Dept. of Surgery, Okayama Univ. Med. School.
Gan No Rinsho. 1988 Feb;34(2):201-7.
A 48-year-old male was referred to our hospital because of a space occupying lesion that had been revealed by hepatic scintigraphy, which had been seen because of an evaluation of his serum alpha-fetoprotein level while under therapy for chronic hepatitis. Laboratory data revealed an impaired liver function and a hepatic angiography showed a hypervascular tumor of the right hepatic branch. An extended right lobectomy was performed. Postoperatively, this case was histologically diagnosed as hepatocellular carcinoma. Despite having had an intraportal tumor thrombus, the patient survived for 7 years and 3 months and died of a cancer recurrence with hepatic failure. In this case surgical resection proved very useful for survival over a long period.
一名48岁男性因肝脏闪烁扫描发现占位性病变而转诊至我院。该扫描是在其慢性肝炎治疗期间因评估血清甲胎蛋白水平而进行的。实验室检查显示肝功能受损，肝脏血管造影显示右肝分支有一个高血运肿瘤。遂行扩大右肝叶切除术。术后，该病例经组织学诊断为肝细胞癌。尽管存在门静脉内肿瘤血栓，但患者存活了7年零3个月，最终死于癌症复发伴肝功能衰竭。在该病例中，手术切除对长期生存非常有用。
