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肝细胞癌——一种不寻常的胸壁转移表现。

Hepatocellular carcinoma - an unusual metastatic presentation on the chest wall.

作者信息

Daga Dhiraj, Dana Rohitashwa, Kothari Nirupama

机构信息

RUHS College of Medical Sciences, Jaipur, Rajasthan, India.

Department of Radiotherapy, SMS Medical College, Jaipur, Rajasthan, India.

出版信息

Clin Exp Hepatol. 2016 Feb;1(4):133-135. doi: 10.5114/ceh.2015.58042. Epub 2016 Feb 25.

DOI:10.5114/ceh.2015.58042
PMID:28856262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5497431/
Abstract

Hepatocellular carcinoma (HCC) is a common malignancy for which chronic hepatitis B infection has been defined as the most common etiologic factor. The most frequent metastatic sites are the lung, bone, lymphatics, and brain. Metastases to the chest wall have been reported rarely. We report a patient with HCC who presented with an isolated metastatic mass on the right chest wall. Metastasis of HCC should be included in the differential diagnosis of rapidly growing lesions in unusual locations, particularly in patients with chronic liver disease and HBsAg-positive patients, even if a primary tumor cannot be radiologically identified.

摘要

肝细胞癌（HCC）是一种常见的恶性肿瘤，慢性乙型肝炎感染已被确定为其最常见的病因。最常见的转移部位是肺、骨、淋巴管和脑。很少有关于转移至胸壁的报道。我们报告一例肝细胞癌患者，其右胸壁出现孤立性转移瘤。肝细胞癌转移应纳入不寻常部位快速生长病变的鉴别诊断中，特别是对于慢性肝病患者和HBsAg阳性患者，即使在影像学上无法识别原发肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c0b/5497431/ff20936789b1/CEH-1-26998-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c0b/5497431/d49ac9b75aa3/CEH-1-26998-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c0b/5497431/eb4f56ac46ef/CEH-1-26998-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c0b/5497431/18c2ea023e68/CEH-1-26998-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c0b/5497431/ff20936789b1/CEH-1-26998-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c0b/5497431/d49ac9b75aa3/CEH-1-26998-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c0b/5497431/eb4f56ac46ef/CEH-1-26998-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c0b/5497431/18c2ea023e68/CEH-1-26998-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c0b/5497431/ff20936789b1/CEH-1-26998-g004.jpg

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本文引用的文献

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Clinical features and prognosis of patients with extrahepatic metastases from hepatocellular carcinoma.肝细胞癌肝外转移患者的临床特征与预后
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Hepatocellular carcinoma. An overview.肝细胞癌。概述。
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Atypical presentation of hepatocellular carcinoma: a mass on the left thoracic wall.肝细胞癌的非典型表现：左胸壁肿物
BMC Cancer. 2004 Dec 1;4:89. doi: 10.1186/1471-2407-4-89.
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Hepatocellular carcinoma: an epidemiologic view.肝细胞癌：流行病学视角
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Natural history of untreated primary hepatocellular carcinoma: a retrospective study of 157 patients.未经治疗的原发性肝细胞癌的自然病史：一项对157例患者的回顾性研究。
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