Breitfellner G, Dirschmid K
Schweiz Med Wochenschr. 1977 Feb 19;107(7):241-3.
A case is presented which, 9 years after surgical removal of a scirrhous breast cancer, exhibited morphologically atypical metastasis in the liver with fibrosis and reduction of liver parenchyma, as well as typical features of cirrhosis including portal hypertension and esophageal varices. Problems posed by the differential diagnosis and pathogenesis of this rare type of metastasis (known in the literature as metastatic carcinomatous cirrhosis) are briefly discussed.
本文报告一例病例,在乳腺硬癌手术切除9年后,肝脏出现形态学上非典型转移,伴有肝实质纤维化和减少,以及肝硬化的典型特征,包括门静脉高压和食管静脉曲张。简要讨论了这种罕见转移类型(文献中称为转移性癌性肝硬化)的鉴别诊断和发病机制所带来的问题。