Moritz M W, Shoji M, Sicard G A, Shioda R, DeSchryver K
Department of Surgery, Wayne State University, Detroit, MI 48201.
Arch Surg. 1988 Jun;123(6):772-4. doi: 10.1001/archsurg.1988.01400300118021.
Hepatocellular carcinoma (HCC) occurring as an appendage from the main hepatic parenchyma is a rare entity, of which two cases are herein described. Because proper surgical management of this tumor (pedunculated HCC) is unclear, the world's literature was reviewed to determine optimal therapy. Thirty-four cases were documented, including the two cases reported herein. Diagnosis was usually obscure, despite modern invasive and noninvasive methods, and laparotomy or autopsy were required for specific identification of tumor type. Sixteen resections were reported among 18 explorations. One patient had transarterial embolization. Fifteen received medical therapy only. Surgically treated patients usually died of metastatic disease, whereas most medically treated patients died of gastrointestinal or tumor hemorrhage. Pedunculated HCC may be more amenable to curative resection than ordinary HCC due to its unique localization and growth pattern.
作为主要肝实质附属物出现的肝细胞癌（HCC）是一种罕见的实体，本文描述了其中两例。由于这种肿瘤（带蒂HCC）的适当手术管理尚不清楚，因此回顾了世界文献以确定最佳治疗方法。记录了34例病例，包括本文报道的两例。尽管有现代的侵入性和非侵入性方法，诊断通常仍不明确，需要剖腹手术或尸检才能明确肿瘤类型。18例探查中有16例进行了切除。1例患者接受了经动脉栓塞治疗。15例仅接受药物治疗。接受手术治疗的患者通常死于转移性疾病，而大多数接受药物治疗的患者死于胃肠道或肿瘤出血。由于其独特的定位和生长模式，带蒂HCC可能比普通HCC更适合根治性切除。
