Kaneko T, Harada A, Isshiki K, Murakami H, Nakao A, Nonami T, Yano M, Kakumu S, Takagi H
Department of Surgery II, Nagoya University School of Medicine, Japan.
Surg Today. 1993;23(7):644-8. doi: 10.1007/BF00311916.
A 54-year-old male was admitted to our hospital for treatment of a liver tumor which was pointed out by screening ultrasonography. Computed tomography revealed a tumor in the right lobe of the liver measuring 7 cm in diameter. Angiography revealed a hypervascular tumor. A hepatocellular carcinoma or hypervascular metastatic tumor was suspected. A right hepatic lobectomy was performed. The patient had previously undergone operations for a hemangiopericytomatous meningioma in the occipital fossa in 1972 and 1977. The histological findings of the liver tumor were identical to those for hemangiopericytomatous meningioma, so the etiology was considered to be liver metastasis from the previous meningioma. Nineteen cases of extracranial metastasis of hemangiopericytomatous meningioma have been reported in the literature, but hepatic resections of this metastasizing tumor have been very rare.
一名54岁男性因筛查超声检查发现肝脏肿瘤而入院治疗。计算机断层扫描显示肝脏右叶有一个直径7厘米的肿瘤。血管造影显示为高血运肿瘤。怀疑是肝细胞癌或高血运转移瘤。遂行右肝叶切除术。该患者曾于1972年和1977年因枕叶血管外皮细胞瘤性脑膜瘤接受过手术。肝脏肿瘤的组织学检查结果与血管外皮细胞瘤性脑膜瘤相同，因此病因被认为是既往脑膜瘤的肝转移。文献中已报道19例血管外皮细胞瘤性脑膜瘤的颅外转移，但对这种转移瘤进行肝切除的情况非常罕见。
