Takagi H, Shimoda R, Uehara M, Takayama H, Yamada T, Ojima T, Abe T, Mori M, Takehara K, Suka K, Nagamine T, Yamasaki S, Barber A
First Department of Internal Medicine, Gunma University School of Medicine, Gunma, Japan.
Am J Gastroenterol. 1996 Sep;91(9):1865-6.
Hemothorax can be caused by rupture of hepatocellular carcinoma (HCC). Hemoperitoneum is a well-known cause of death caused by rupture of a primary HCC lesion. Rupture of a HCC metastasis has not been adequately described. This is the first report of a HCC patient who died of hemothorax due to rupture of a pleural metastasis. The patient, a woman, died in respiratory failure 2 wk after rupture of her HCC metastasis in the pleura. Autopsy revealed moderately differentiated HCC in the liver, lung, and pleura. We discuss treatment options for ruptured pleura-based HCC metastases.
血胸可由肝细胞癌（HCC）破裂引起。腹腔积血是原发性HCC病变破裂导致死亡的一个常见原因。HCC转移灶破裂的情况尚未得到充分描述。本文首次报道了一名因胸膜转移灶破裂导致血胸而死亡的HCC患者。该患者为女性，在其HCC胸膜转移灶破裂2周后死于呼吸衰竭。尸检显示肝脏、肺和胸膜存在中度分化的HCC。我们讨论了基于胸膜的HCC转移灶破裂的治疗选择。
