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源于肝胃韧带的孤立性肝母细胞瘤:一例报告

Isolated hepatoblastoma arising from the hepatogastric ligament: a case report.

作者信息

Chen Ji, Sun Mengjiao, Sun Bin, Yi Jun, Jiang Bin, Huang Lei

机构信息

Department of General Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China.

Department of Hematology/Oncology, Children's Hospital of Nanjing Medical University, Nanjing, China.

出版信息

J Med Case Rep. 2017 Nov 21;11(1):327. doi: 10.1186/s13256-017-1488-8.

DOI:10.1186/s13256-017-1488-8
PMID:29157294
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5697092/
Abstract

BACKGROUND

Almost all hepatoblastomas are isolated to the liver. Hepatoblastoma arising from and limited to extrahepatic tissue is an extremely rare clinical entity.

CASE PRESENTATION

Here we present a case of a 7-year-old Chinese boy of Han ethnicity with hepatoblastoma originating from the hepatogastric ligament. A complete resection was performed and the entire course was uneventful. He received six cycles of postoperative chemotherapy and had no signs of recurrence for 3 years after surgery.

CONCLUSIONS

Hepatoblastoma arising from extrahepatic tissue is extremely rare. A pedunculated hepatoblastoma is prone to hemorrhage and tumor metastasis. The best treatment for a long-term cure is complete resection of the primary tumor combined with chemotherapy.

摘要

背景

几乎所有肝母细胞瘤都局限于肝脏。起源于肝外组织并局限于该部位的肝母细胞瘤是一种极其罕见的临床病症。

病例介绍

在此,我们报告一例7岁汉族中国男孩,其肝母细胞瘤起源于肝胃韧带。进行了完整切除,整个过程顺利。他接受了六个周期的术后化疗,术后3年无复发迹象。

结论

起源于肝外组织的肝母细胞瘤极为罕见。带蒂肝母细胞瘤易于出血和发生肿瘤转移。实现长期治愈的最佳治疗方法是完整切除原发肿瘤并联合化疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0e9/5697092/0176831765c6/13256_2017_1488_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0e9/5697092/b2efa7f2312e/13256_2017_1488_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0e9/5697092/0176831765c6/13256_2017_1488_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0e9/5697092/b2efa7f2312e/13256_2017_1488_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0e9/5697092/0176831765c6/13256_2017_1488_Fig2_HTML.jpg

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Ectopic hepatocellular carcinoma in the gallbladder.
Rev Esp Enferm Dig. 2014 Feb;106(2):149-50. doi: 10.4321/s1130-01082014000200015.
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Hepatocellular cancer arising from ectopic liver tissue on diaphragm. Case report.源于膈肌异位肝组织的肝细胞癌。病例报告。
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