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[一例带蒂肝癌切除术后发生极为罕见远处转移的病例报告]

[A case report of pedunculated hepatoma with very rare remote metastases after the resection].

作者信息

Tokuyama K, Koike S, Takashima S, Moriwaki S, Uyama K, Jinno K

出版信息

Gan No Rinsho. 1984 Feb;30(2):174-80.

PMID:6323785
Abstract

A 44-year-old woman presented with a tumorous mass on the right hypochondrium, however, no clear tumor was detected. One year later she was found to have an abdominal tumor. Upon surgery, the abdominal tumor was identified as a pedunculated hepatoma arising from the right hepatic lobe and was resected radically. Two years later, the hepatoma recurred as very rare remote metastases to the lung, brain and gingiva, and the patient died of respiratory failure. Autopsy showed no local recurrence in the liver, but remote metastases were present in the lung, brain and lymph nodes. The gingival tumor had disappeared following irradiation therapy.

摘要

一名44岁女性因右季肋部出现肿瘤性肿块就诊,但未检测到明确肿瘤。一年后,她被发现患有腹部肿瘤。手术中,腹部肿瘤被确定为起源于右肝叶的带蒂肝癌,并进行了根治性切除。两年后,肝癌复发,出现了非常罕见的肺、脑和牙龈远处转移,患者死于呼吸衰竭。尸检显示肝脏无局部复发,但肺、脑和淋巴结有远处转移。牙龈肿瘤在放疗后消失。

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