Silva Maria João, Almeida Costa Nuno, Dias Susana, Sousa Maria José, Fragoso Maria
Medical Oncology Department, Instituto Português de Oncologia do Porto, Francisco Gentil, Oporto, Portugal.
Radiology Department, Instituto Português de Oncologia do Porto, Francisco Gentil, Oporto, Portugal.
Case Reports Hepatol. 2019 Mar 4;2019:1475209. doi: 10.1155/2019/1475209. eCollection 2019.
Cancer patients with liver metastasis may be candidates for liver surgery and local interventional techniques as part of their treatment. Although rare in this setting, hepatopulmonary fistula has been described as a possible complication. The clinical picture may be atypical, and, without specific treatment, it usually has a dismal prognosis. As locoregional treatments (whether interventional or surgical techniques) in liver neoplasms are being more frequently used we need to include this entity as a possible differential diagnosis of local liver treatment complications.
伴有肝转移的癌症患者可能适合接受肝脏手术和局部介入技术作为其治疗的一部分。尽管在这种情况下很少见,但肝肺瘘已被描述为一种可能的并发症。临床表现可能不典型,并且如果没有特异性治疗,其预后通常很差。由于肝脏肿瘤的局部区域治疗(无论是介入技术还是手术技术)越来越频繁地被使用,我们需要将这个实体纳入肝脏局部治疗并发症的可能鉴别诊断中。