Čizmarević Urban, Hanžič Nina, Polanec Beno, Rupreht Mitja
Radiology, University Medical Centre Maribor, Maribor, SVN.
Cureus. 2019 Sep 30;11(9):e5802. doi: 10.7759/cureus.5802.
An incidental liver mass was discovered in a 65-year-old male during a routine ultrasound (US) check-up of his hiatal hernia. The mass, which showed no malignant characteristics, was interpreted as a focal nodular hyperplasia (FNH). Due to normal blood tests and tumor marker levels, as well as the patient's asymptomatic presentation, only regular monitoring was performed. At a check-up 18 months later, CT examination indicated hepatocellular carcinoma (HCC). Surgery was no longer possible due to diffuse liver involvement. Transarterial chemoembolization (TACE) and chemotherapy were started. A possible metastasis to the right adrenal gland was detected. The patient started to experience headaches, vertigo, paresthesia, and pain of the right jaw. A CT scan of the head showed a mass in the right masticatory space. A CT-guided biopsy confirmed a HCC metastasis.
一名65岁男性在进行食管裂孔疝常规超声（US）检查时，偶然发现肝脏有肿物。该肿物无恶性特征，被诊断为局灶性结节性增生（FNH）。由于血液检查和肿瘤标志物水平正常，且患者无症状，仅进行了定期监测。18个月后的一次检查中，CT检查显示为肝细胞癌（HCC）。由于肝脏广泛受累，已无法进行手术。遂开始行经动脉化疗栓塞（TACE）及化疗。检测到可能已转移至右肾上腺。患者开始出现头痛、眩晕、感觉异常及右颌疼痛。头部CT扫描显示右咀嚼肌间隙有肿物。CT引导下活检证实为HCC转移。
