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[乳腺癌孤立性肝转移与肝内胆管癌表现出微小分化差异的病例]

[Case of Solitary Liver Metastasis of Breast Cancer Showing Minimal Differentiation from Intrahepatic Cholangiocarcinoma].

作者信息

Nagao Mina, Suto Hironobu, Ishikawa Ryo, Ando Yasuhisa, Oshima Minoru, Okano Keiichi, Suzuki Yasuyuki

机构信息

Dept. of Gastroenterological Surgery, Faculty of Medicine, Kagawa University.

出版信息

Gan To Kagaku Ryoho. 2022 Feb;49(2):177-179.

Abstract

A 75-year-old woman presented to our department with a liver tumor. She had undergone left total mastectomy and axillary lymph node dissection for left breast cancer at the age of 67 years. Subsequently, she had taken an aromatase inhibitor. A follow-up abdominal echo revealed a 50 mm tumor in the liver. Based on examinations, she was diagnosed with an intrahepatic cholangiocarcinoma. She underwent laparoscopic lateral segment hepatectomy. Pathological diagnosis showed liver metastasis of the breast cancer. After surgery, she received hormonal therapy. After 5 months, multiple brain metastases appeared. She died 15 months after the liver operation.

摘要

一名75岁女性因肝脏肿瘤前来我院就诊。她67岁时因左乳腺癌接受了左全乳切除术及腋窝淋巴结清扫术。随后,她服用了芳香化酶抑制剂。腹部超声随访发现肝脏有一个50毫米的肿瘤。经检查,她被诊断为肝内胆管癌。她接受了腹腔镜左外叶肝切除术。病理诊断显示为乳腺癌肝转移。术后,她接受了激素治疗。5个月后,出现了多发脑转移。肝脏手术后15个月,她去世了。

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