初始治疗13年后肝细胞癌孤立转移至腹直肌

Solitary Metastasis of Hepatocellular Carcinoma to the Rectus Abdominis 13 Years After the Initial Treatment.

作者信息

Kato Rei, Sakamoto Akio, Noguchi Takashi, Matsuda Shuichi, Terajima Hiroaki

机构信息

The Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

The Department of Gastroenterological Surgery and Oncology, Kitano Hospital Medical Research Institute, Osaka, Japan.

出版信息

ACG Case Rep J. 2021 May 21;8(5):e00607. doi: 10.14309/crj.0000000000000607. eCollection 2021 May.

DOI:10.14309/crj.0000000000000607

PMID:34036115

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8140775/

Abstract

Solitary muscle metastasis of hepatocellular carcinoma (HCC) is extremely rare, and late metastasis is also rare. We present a 59-year-old man who had received initial treatment for HCC 13 years previously. Ultrasonography revealed a tumor between the abdominal wall and the liver surface. Tumor resection was performed with suspected intrahepatic metastasis or abdominal wall metastasis of HCC, and the tumor was found to be within the rectus abdominis without an association with the liver. Histologically, the resected material was confirmed to be a muscle metastasis of HCC. We discuss the management of muscle metastasis of HCC.

摘要

肝细胞癌（HCC）的孤立性肌肉转移极为罕见，晚期转移也很罕见。我们报告一名59岁男性，他在13年前曾接受过HCC的初始治疗。超声检查发现腹壁与肝表面之间有一个肿瘤。对疑似HCC肝内转移或腹壁转移的患者进行了肿瘤切除术，发现肿瘤位于腹直肌内，与肝脏无关。组织学检查证实切除的组织为HCC的肌肉转移。我们讨论了HCC肌肉转移的治疗方法。