Texler M L, Pierides J, Maddern G J
Department of Surgery, The Queen Elizabeth Hospital, The University of Adelaide, Australia.
J Gastroenterol Hepatol. 1998 May;13(5):467-70. doi: 10.1111/j.1440-1746.1998.tb00669.x.
Hepatocellular carcinoma is a highly malignant neoplasm. Extrahepatic metastases are found in 64% of patients with hepatocellular carcinoma. The lungs, regional lymph nodes, kidney, bone marrow and adrenals are common sites of metastases. Pancreatic metastases are not common (<5%). A case report of a hepatocellular carcinoma with a metastasis in the distal pancreas is presented. A resection of the primary tumour and metastasis was carried out with the patient still alive 16 months after resection. This case illustrates that hepatic resection for hepatocellular carcinoma with a single local metastasis can be reasonably considered although a cure has not been established.
肝细胞癌是一种高度恶性的肿瘤。64%的肝细胞癌患者会出现肝外转移。肺、区域淋巴结、肾、骨髓和肾上腺是常见的转移部位。胰腺转移并不常见（<5%）。本文报告一例远端胰腺转移的肝细胞癌病例。对原发肿瘤和转移灶进行了切除，患者术后16个月仍存活。该病例表明，对于单发局部转移的肝细胞癌，虽然尚未证实可治愈，但仍可合理考虑行肝切除术。
