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題名 | Hepatocellular Carcinoma Presenting as a Pyogenic Liver Abscess in a Patient with Hemochromatosis=鐵質沉積症病患合併以化膿性肝膿瘍為初始表現的肝細胞癌 |
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作者 | 楊宜寰; 陳俊嘉; 姜仁惠; 龔松保; 蔡世豪; 王聖賢; 張扶陽; 李壽東; Yang, Yi-hwan; Chen, Chun-chia; Chiang, Jen-huey; Kung, Sung-pao; Tsay, Shyh-haw; Wang, Sun-sang; Chang, Full-young; Lee, Shou-dong; |
期刊 | 中華醫學雜誌 |
出版日期 | 20000100 |
卷期 | 63:1 2000.01[民89.01] |
頁次 | 頁53-57 |
分類號 | 415.537 |
語文 | eng |
關鍵詞 | 鐵質沉積症; 肝細胞癌; 肝膿瘍; Hemochromatosis; Hepatocellular carcinoma; Liver abscess; |
中文摘要 | 鐵質沉積症在臺灣是很罕見的。臺灣是肝細胞癌的好發區,但以化膿性肝膿瘍為 初始臨床表現的肝細胞癌則並不常見。 本文報告 1 例患有鐵質沉積症的病患併發肝細胞癌 並以化膿性肝膿瘍為初始表現。該病患在接受肝臟切除手術後,恢復良好,但不幸於術後 8 個月死於肺炎。因此,在鐵質沉積症病患罹患化膿性肝膿瘍時,應將肝癌列入鑑別診斷。 |
英文摘要 | Primary hemochromatosis is rare in Taiwan. Hepatocellular carcinoma (HCC) is endemic in Taiwan, but HCC with initial presentation as pyogenic liver abscess is unusual. We report a case of HCC presenting as pyogenic liver abscess in a hemochromatotic patient with cirrhosis. The patient underwent hepatectomy and had a smooth postoperative course. Unfortunately, he died of pneumonia eight months after surgery. HCC should be considered in the differential diagnosis in hemochromatotic patients with a pyogenic liver abscess. |
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