Yamamoto R, Yamamoto S, Fukushima K, Ohmoto K, Hino K, Kojoh K, Ohumi Y, Ideguch S, Hirannao H, Hirokawa M
Gan No Rinsho. 1986 Sep;32(11):1486-90.
It is known that hepatocellular carcinoma (HCC) frequently metastasises to various organs, but metastasis to the spleen is quite rare. We experienced two cases of splenic metastasis of HCC revealed by ultrasonography (US) or computed tomography (CT) and confirmed by autopsy. We report the morphological characteristics of the US or CT findings in these two cases. The first patient was a 68-year-old woman who was admitted with the chief complaint of abdominal fullness. US revealed a hypoechoic lesion in the liver and spleen. She died of hepatic failure about a month later, and splenic metastasis of HCC was confirmed by autopsy. The second patient was a 61-year-old man who was admitted with the chief complaint of swelling a cervical lymph nodes. US showed a mosaic pattern of a mass lesion in the spleen. The patient died of hepatic failure about two weeks later, and metastasis of HCC to the spleen was confirmed by autopsy.
众所周知，肝细胞癌（HCC）常转移至各种器官，但转移至脾脏相当罕见。我们经历了两例经超声检查（US）或计算机断层扫描（CT）发现并经尸检证实的HCC脾转移病例。我们报告这两例病例中US或CT检查结果的形态学特征。首例患者为一名68岁女性，以腹部胀满为主诉入院。超声检查发现肝脏和脾脏有低回声病变。她大约一个月后死于肝衰竭，尸检证实为HCC脾转移。第二例患者为一名61岁男性，以颈部淋巴结肿大为主诉入院。超声显示脾脏有一个肿块病变的镶嵌样模式。该患者大约两周后死于肝衰竭，尸检证实为HCC转移至脾脏。
