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頁籤選單縮合
題 名 | 小型肝癌併腦部轉移=Intracrainal Metastasis of Small Hepatocellular Carcinoma--One Case Report |
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作 者 | 陳志州; 蘇俊仁; 孫啟書; 林勤益; 楊壽刘; 徐淑英; 蔡宗佳; 曾文盛; | 書刊名 | 內科學誌 |
卷 期 | 10:1 1999.02[民88.02] |
頁 次 | 頁22-26 |
分類號 | 415.5362 |
關鍵詞 | 肝癌; 腦轉移; Hepatocellular carcinoma; Brain metastasis; |
語 文 | 中文(Chinese) |
中文摘要 | 肝癌在臺灣是相當常見的惡性腫瘤,預後極差,而其肝外轉移並不罕見,較常見 的轉移部位為淋巴結、肺臟、與骨骼。然而腦部的轉移則較為少見。而肝癌合併肝外轉移常 見於肝癌已非常明顯且併有肺部轉移的病人,或的曾經接受治療後的時期。小型肝癌則罕見 肝外轉移,小型肝癌腦部轉移仍不見病例報告。我們在此提出一微小肝癌併腦轉移的罕見病 例。病人為 47 歲男性,於二十年前曾因肝良性腫瘤手術,而後健康情形良好。於位院前 4 日發生右側輕癱和右臉局部性抽搐,經腦部核磁共振造影發現左顱頂頂葉皮質下有腫瘤合併 明顯周緣水腫,其他檢查全部正常,因此接受腦腫瘤手術,術後的病理檢查發現此腦腫瘤為 肝癌組織。隨後檢查肝功能亦正常,並且其 B 型肝炎表面抗原、抗體及 C 型肝炎抗體等肝 癌的危險因子均為陰性。 而腹部超音波檢查除發現肝臟右葉一 0.6cm 的高回音腫瘤外無其 他異常,電腦斷層則無法發現此一腫瘤,而肝血管攝影也只發現一個小的高血管性腫瘤。患 者於手術後一個月因腫瘤於腦中復發而死亡。由本個案,中風病人必須考慮由腦瘤引起中風 的可能性;尤其是在腦出血時,更容易忽略了腦瘤的存在。而肝癌併腦轉移應列入腦瘤的鑑 別診斷。 |
英文摘要 | Intracrainal metastasis is rare in patient with hepatocellular carcinoma. It is usually found in patients have large hepatocellular carcinoma with lung metastasis. There is no report about the intracrainal metastasis when the hepatocellular carcinoma is in small size. We report a 47 years old male patient presented as right hemiparesis that caused by left temporal lobe tumor. Postoperative pathological studies found hepatocellular carcinoma in brain tissue. However, the image studies (including ultrasonography, computed tomography, and angiography) about the liver revealed only a small tumor with a size of 6 mm. The viral hepatitis markers are negative with a normal (-fetoprotein. The patients died of recurrent brain tumor one month after operation. From this case, brain tumor as hepatocellular carcinoma with intracrainal metastasis should be a differential diagnosis of cerebrovascular accident. |
本系統中英文摘要資訊取自各篇刊載內容。