Ohwada S, Iino Y, Hosomura Y, Kon Y, Kawashima Y, Kasahara M, Tanahashi Y, Nakamura S, Joshita T, Miyamoto Y
Second Department of Surgery, Gunma University School of Medicine, Maebashi.
Jpn J Clin Oncol. 1993 Oct;23(5):309-12.
We report a surgical case of hepatocellular carcinoma and solitary liver metastasis from papillary thyroid carcinoma in different lobes of the liver. The former, located in the right anterior superior segment, and the latter, in the left caudate lobe, were resected simultaneously. The hepatocellular carcinoma was a micro(thin)-trabecular, pseudoglandular type of Edmondson's grade II. The liver metastasis was a papillary carcinoma of follicular variant from the thyroid. This is the first report of hepatocellular carcinoma accompanying a solitary liver metastasis from papillary thyroid carcinoma without metastasis in other organs.
我们报告了一例肝细胞癌合并甲状腺乳头状癌肝内不同叶孤立性肝转移的外科病例。前者位于肝右前上段,后者位于肝左尾状叶,二者同时被切除。肝细胞癌为微小(细)梁状、假腺管型,Edmondson分级为II级。肝转移瘤为甲状腺滤泡变异型乳头状癌。这是首例甲状腺乳头状癌无其他器官转移而伴有孤立性肝转移的肝细胞癌病例报告。