Yoshikawa K, Kijima H, Ichikawa H, Akagi H, Minami M, Imabun S, Han N, Ito A, Maeda Y, Kano M
Dept. of Surgery, Osaka Rosai Hospital.
Gan No Rinsho. 1988 Apr;34(4):457-61.
A 67-year-old male, who had a left hepatectomy for hepatocellular carcinoma, was readmitted to our hospital because of a left hemiparesis. A brain computed tomography scan and an r-carotid angiogram revealed a large mass involving the right parietal area, and thus a brain tumor removal was performed. A histological diagnosis of the removed brain tumor found it to be a metastatic, hepatocellular carcinoma. The patient died of pulmonary congestion due to lung metastasis, approximately 2 years and seven months after hepatectomy, and 1 year and three months after the removal of this metastatic brain tumor. In selected cases, the removal of a metastatic brain tumor seems to bring about improvements in the quality and duration of life.
一名67岁男性,因肝细胞癌接受了左半肝切除术,后因左侧偏瘫再次入院。脑部计算机断层扫描和右侧颈动脉血管造影显示右顶叶区域有一个大肿块,因此进行了脑肿瘤切除手术。对切除的脑肿瘤进行组织学诊断,发现是转移性肝细胞癌。该患者在肝切除术后约两年零七个月,以及切除转移性脑肿瘤后一年零三个月,因肺转移导致肺充血死亡。在某些特定病例中,切除转移性脑肿瘤似乎能改善生活质量并延长生命期限。