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頁籤選單縮合
題名 | Hepatocellular Carcinoma with Invasion into the Right Atrium: A Case Report=肝細胞癌併右心房轉移:病例報告 |
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作者 | 侯民波; 李建璋; 蔡光超; 黃一鑫; 尤嘉宏; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷期 | 22:3 2011.09[民100.09] |
頁次 | 頁111-115 |
分類號 | 415.5362 |
關鍵詞 | 肝癌; 轉移; 心臟; Hepatocellular carcinoma; Metastasis; Heart; |
語文 | 英文(English) |
中文摘要 | 肝細胞癌 (肝癌) 有一個很大的傾向的是靜脈侵襲,轉移性肝癌侵犯到右心房是很少的個案。我們報告一位 50歲男性病患酒精性肝硬化病史,後來診斷為肝細胞癌。肝癌細胞經由靜脈侵襲到右心房。由於病人不希望任何侵入性治療,患者只接受 thalidomide治療。兩個星期後,他死於循環系統衰竭。 |
英文摘要 | Hepatocellular carcinoma (HCC) has a great tendency toward venous invasion; however, metastatic HCC invasion into the right atrial cavity was rarely reported. We herein report a rare case of right atrialinvasion from hepatocellular carcinoma in a 50-year-old man with history of alcoholic liver cirrhosis, and later diagnosed as hepatocellular carcinoma. Because of the patient did not wish any invasive therapy,he received compassionate thalidomide therapy only. Two weeks later, he died of circulatory collapse. Cardiac involvement of HCC should be considered when a patient with a history of chronic hepaticdisease presents with unexplained cardiac symptoms or refractive leg edema. Keeping a low threshold for cardiac image surveillance is suggested. |
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