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題名 | Hepatocellular Carcinoma Invading the Stomach Presented as Gastrointestinal Bleeding:Report of a Case=肝細胞癌之胃侵犯合併上胃腸道出血:一病例報告 |
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作者 | 蔡奇璋; 薛肇文; 黎國洪; 文士祺; 劉永豐; 李臺民; Tsai, Chi-chang; Shiue, Jaw-wen; Lai, Kwok-hung; Wen, Shi-chi; Liu, Yung-feng; Lee, Tai-min; |
期刊 | 中華民國消化系醫學雜誌 |
出版日期 | 19970300 |
卷期 | 14:1 1997.03[民86.03] |
頁次 | 頁43-49 |
分類號 | 415.5362 |
語文 | eng |
關鍵詞 | 肝細胞癌; 胃腸道出血; 胃; Hepatocellular carcinoma; Gastrointestinal bleeding; Stomach; |
中文摘要 | 肝細胞癌是一種常見且高度惡性的腫瘤,常有轉移之發現。一般較常見於肺部及 淋巴結之轉移。胃腸道之轉移較罕見,並且經常是因癌細胞直接侵犯所致。肝細胞癌患者併 發上胃腸道出血的原因多數是由於胃或食道靜脈曲張破裂出血,而因肝細胞癌侵犯胃腸道引 起出血之機會則十分少見。 本病例為一 37 歲男性 B 型肝炎帶原者,因上胃腸道出血入院 ,經上消化道內視鏡檢、鋇劑攝影、電腦斷層檢查及手術切除,證實為肝細胞癌合併胃侵犯 引起上胃腸道出血,故提出報告。 |
英文摘要 | A 35-year-old male was admitted with upper gastrointestinal (UGI) bleeding. Endoscopy revealed an enormous gastric submucosal tumor with central ulceration and bleeding. The biopsy failed to define histology of the lesion. Barium meal study confirmed a circumscribed infiltrative mass over the body and fundus of the stomach. Abdominal computed tomography (CT) scanning indicated an enormous mass with central necrosis arising from the left lobe of the liver and was adhesive to the gastric wall. Laparotomy showed it as hepatocellular carcinoma (HCC) with direct gastric invasion. HCC presented with UGI bleeding by direct invasion of the stomach was deemed atypical. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。