氩氦刀冷冻消融术治疗乙型肝炎相关性肝癌转移胸椎1例报告
Argon-helium cryoablation for thoracic vertebrae with metastasis of hepatocellular carcinoma-related hepatitis B: A case report.
作者信息
Tan You-Wen, Ye Yun, Sun Li
机构信息
Department of Hepatology, The Third Hospital of Zhenjiang Affiliated Jiangsu University, Zhenjiang 212003, Jiangsu Province, China.
出版信息
World J Clin Cases. 2020 Jan 26;8(2):377-381. doi: 10.12998/wjcc.v8.i2.377.
BACKGROUND
Spinal metastasis of hepatocellular carcinoma (HCC) is rare, with an extremely poor prognosis and results in severe pain. Argon-helium cryotherapy is a local ablation method for HCC.
CASE SUMMARY
A 54-year-old man was diagnosed with HCC related to hepatitis B one year ago and underwent surgical tumor resection and tenofovir antiviral treatment. However, a new lesion developed on the right liver after 1 mo. Transarterial chemoembolization was performed four times. One month ago, the patient developed back pain, and metastasis on the 11 thoracic vertebra was detected. Argon-helium cryoablation was performed to treat the right occupancy and metastatic lesion, which immediately alleviated the pain and prolonged survival.
CONCLUSION
The use of argon-helium cryoablation for thoracic vertebrae with metastasis of HCC achieved favorable results.
背景
肝细胞癌（HCC）的脊柱转移罕见，预后极差且会导致严重疼痛。氩氦冷冻疗法是一种用于HCC的局部消融方法。
病例摘要
一名54岁男性一年前被诊断为乙型肝炎相关的HCC，接受了肿瘤手术切除和替诺福韦抗病毒治疗。然而，1个月后右肝出现新病灶。进行了4次经动脉化疗栓塞术。1个月前，患者出现背痛，检测发现第11胸椎转移。对右侧占位性病变和转移灶进行了氩氦冷冻消融治疗，疼痛立即缓解，生存期延长。
结论
氩氦冷冻消融术用于治疗HCC脊柱转移取得了良好效果。
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