Dachselt K, Ehrhardt G, Scorl U
Medizinischen Klinik, Maxim-Zetkin-Krankenhauses Nordhausen.
Z Gesamte Inn Med. 1988 Feb 15;43(4):97-9.
Cause for the publication was a primary hepatocellular carcinoma, the clarification of which was performed on an unusual diagnostic way. The consequence of a circular focus near the pleura were differential-diagnostic considerations. By an aimed biopsy and thoracoscopy a malignant tumour could be ascertained, in which case the histologic investigation resulted in the solitary metastasis of a hepatocellular carcinoma. The authors enter the problems of the diagnosis of pulmonary circular foci and of the hepatocellular carcinoma.
发表这一病例的原因是一例原发性肝细胞癌，其诊断采用了一种不同寻常的方式。胸膜附近圆形病灶的情况引发了鉴别诊断的思考。通过靶向活检和胸腔镜检查确定为恶性肿瘤，组织学检查结果显示为肝细胞癌的孤立转移灶。作者探讨了肺部圆形病灶及肝细胞癌的诊断问题。
