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一例罕见的喉癌肝转移破裂病例。

A rare case of ruptured liver metastases from a laryngeal cancer.

作者信息

Yirgin Inci Kizildag, Ekenel Meltem, Simsek Duygu Has, Acunas Bulent

机构信息

Department of Radiology. Oncology Institute, Istanbul University, Istanbul, 34390, Capa, Turkey.

Department of Medical Oncology. Oncology Institute, Istanbul University, Istanbul, 34390, Capa, Turkey.

出版信息

Radiol Case Rep. 2021 Aug 28;16(11):3330-3335. doi: 10.1016/j.radcr.2021.08.001. eCollection 2021 Nov.

DOI:10.1016/j.radcr.2021.08.001
PMID:34484541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8406153/
Abstract

Rupture of a metastatic liver tumor associated with laryngeal cancer is a very rare complication with no previous case in the literature. We present a case of ruptured liver metastases which was treated conservatively. Dynamic contrast-enhanced computed tomography demonstrated active extravasation and discontinuity of liver capsule. When the patient came to our hospital from the external medical center, we did not see active extravasation on control computed tomography. This case highlights the role of radiologic imaging in the diagnosis and follow-up of ruptured hepatic metastases.

摘要

喉癌相关的转移性肝肿瘤破裂是一种非常罕见的并发症,文献中此前尚无相关病例。我们报告一例肝转移瘤破裂并接受保守治疗的病例。动态对比增强计算机断层扫描显示肝脏有活动性外渗及肝包膜连续性中断。当患者从外部医疗中心转至我院时,在对照计算机断层扫描中未发现活动性外渗。该病例突出了放射影像学在肝转移瘤破裂诊断及随访中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bf/8406153/be192a1038f0/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bf/8406153/733b94dff1e9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bf/8406153/50b296475ea6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bf/8406153/ff7db5ea0698/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bf/8406153/356e342a9191/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bf/8406153/be192a1038f0/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bf/8406153/733b94dff1e9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bf/8406153/50b296475ea6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bf/8406153/ff7db5ea0698/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bf/8406153/356e342a9191/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bf/8406153/be192a1038f0/gr5.jpg

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1
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本文引用的文献

1
Hemoperitoneum Secondary to Rupture of a Hepatic Metastasis from Small Cell Lung Cancer during Chemotherapy: A Case with a Literature Review.化疗期间小细胞肺癌肝转移瘤破裂继发腹腔积血:1例病例报告并文献复习
Intern Med. 2017;56(6):695-699. doi: 10.2169/internalmedicine.56.6828. Epub 2017 Mar 17.
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Rupture of liver metastasis: report of a case with an emphasis on contrast-enhanced US.肝转移瘤破裂:1例报告并着重于超声造影
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Spontaneous rupture of hepatic metastasis from small cell neuroendocrine carcinoma of maxillary sinus.
上颌窦小细胞神经内分泌癌肝转移灶自发性破裂
World J Surg Oncol. 2014 Apr 27;12:126. doi: 10.1186/1477-7819-12-126.
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Massive bleeding of ruptured metastatic hepatic melanoma treated by transarterial embolization.破裂转移性肝黑色素瘤经动脉栓塞治疗后大量出血。
Jpn J Radiol. 2010 Jun;28(5):395-7. doi: 10.1007/s11604-010-0441-1. Epub 2010 Jun 30.
5
Spontaneous rupture of hepatic metastasis from choriocarcinoma: a review of imaging and management.绒癌肝转移瘤自发性破裂:影像学表现与处理方法复习。
Ann Hepatol. 2009 Oct-Dec;8(4):384-7.
6
Spontaneous rupture of metastatic alpha-fetoprotein-producing gastric cancer of the liver.肝脏转移性甲胎蛋白产生胃癌自发性破裂。
Hepatol Int. 2008 Jun;2(2):258-61. doi: 10.1007/s12072-008-9072-3. Epub 2008 Apr 8.
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[Hemoperitoneum and death due to hepatoesplenic metastasis rupture in a testicular tumor].
Actas Urol Esp. 2007 Nov-Dec;31(10):1175-8. doi: 10.1016/s0210-4806(07)73782-8.
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[Distant metastases and their significant indicators in laryngeal cancer].[喉癌的远处转移及其重要指标]
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2003 Jun;38(3):221-4.
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Cancer of the larynx.喉癌
Crit Rev Oncol Hematol. 2003 Jul;47(1):65-80. doi: 10.1016/s1040-8428(03)00017-9.
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A retrospective review of transcatheter hepatic arterial embolisation for ruptured hepatocellular carcinoma.经导管肝动脉栓塞术治疗破裂肝细胞癌的回顾性研究
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