Chang K M, Jeng K S, Yang F S, Chen B F
Department of Pathology, Mackay Memorial Hospital, Taipei, Taiwan, ROC.
Zhonghua Yi Xue Za Zhi (Taipei). 1998 Oct;61(10):613-8.
In case of hepatocellular carcinoma (HCC), the gallbladder is less frequently involved and metastasis to the gallbladder, together with its significant clinical manifestations, is rarely discussed in the literature in detail. HCC with metastasis to the gallbladder, initially presenting as gallbladder intraluminal hemorrhage and perforation, has not been previously reported. We present a case of HCC disclosed by emergency cholecystectomy for hemocholecyst with perforation. Evaluation of the possible metastatic mechanisms is also discussed.
在肝细胞癌（HCC）的情况下，胆囊受累较少见，而HCC转移至胆囊及其显著的临床表现，在文献中很少有详细讨论。HCC转移至胆囊，最初表现为胆囊腔内出血和穿孔，此前尚未见报道。我们报告一例因胆囊积血伴穿孔行急诊胆囊切除术而发现的HCC病例。同时也讨论了对可能的转移机制的评估。
