Yuan Jie, Wang Guonian, Liu Mengxiao, Gong Zhigang
Department of Radiology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
MR Scientific Marketing, Diagnostic Imaging, Siemens Healthineers Ltd, Shanghai 201203, China.
Radiol Case Rep. 2022 May 5;17(7):2295-2298. doi: 10.1016/j.radcr.2022.04.011. eCollection 2022 Jul.
Hepatic metastasis from hepatoid adenocarcinoma of the stomach (HAS) is a rare malignant tumor with hepatocellular differentiation. For the hepatic tumor in middle-aged and elderly people, the image presence of hepatocellular carcinoma (HCC) and production of large amounts of alpha fetoprotein (AFP) and the presence of stomach tumor, that suggest the diagnosis of hepatic metastasis from HAS. Here, the authors report a case of hepatic metastasis from HAS. The characteristics of the disease were analyzed on the basis of clinical symptoms, MR imaging findings, laboratory examinations and pathological diagnosis results. The imaging features and differential diagnosis methods of the disease were summarized combined with literature review, aiming to improve the understanding and diagnostic ability of the disease.
胃肝样腺癌（HAS）肝转移是一种罕见的具有肝细胞分化的恶性肿瘤。对于中老年患者的肝脏肿瘤，若存在肝细胞癌（HCC）的影像学表现、大量甲胎蛋白（AFP）的产生以及胃部肿瘤，则提示为HAS肝转移。在此，作者报告1例HAS肝转移病例。基于临床症状、磁共振成像（MR）表现、实验室检查及病理诊断结果对该疾病的特征进行分析。结合文献复习总结该疾病的影像学特征及鉴别诊断方法，旨在提高对该疾病的认识及诊断能力。
