查詢結果分析
相關文獻
- Primary Hepatic Adenosquamous Carcinoma with Peritoneal Carcinomatosis Presenting as Liver Abscess
- Isolation of Eikenella corrodens from Polymicrobial Hepatic Abscess: Report of One Case
- 胸腔巨大腫瘤源自乳突漿液腹膜癌--病例報告
- A Vanishing Liver Abscess Complicated with Klebsiella pneumoniae Chest Wall Abscess: A Case Report
- Primary Hepatic Epithelioid Hemangioendothelioma: Case Report
- 肝膿瘍(Liver Abscess)及藥物治療
- 一位輕度智能不足者罹患轉移性腹膜癌末期之護理經驗
- 克雷白氏肺炎桿菌肝膿瘍併發化膿性關節炎:一病例報告
- 臺灣地區化膿性肝膿瘍及嚴重併發症
- Pyogenic Liver Abscess Caused by Pseudomonas Aeruginosa in a Previously Healthy Child: Report of One Case
頁籤選單縮合
題名 | Primary Hepatic Adenosquamous Carcinoma with Peritoneal Carcinomatosis Presenting as Liver Abscess=疑似肝膿瘍的原發性肝臟腺鱗狀癌合併腹膜轉移 |
---|---|
作者 | 楊國鑫; 施壽全; 王鴻源; 陳銘仁; 林錫泉; | 書刊名 | 臺灣癌症醫學雜誌 |
卷期 | 2:1 2015.03[民104.03] |
頁次 | 頁61-68 |
分類號 | 415.53 |
關鍵詞 | 原發性肝臟腺鱗癌; 膽道細胞癌; 腹膜癌; 肝膿瘍; Primary hepatic adenosquamous carcinoma; Cholangiocellular carcinoma; Peritoneal carcinomatosis; Liver abscess; |
語文 | 英文(English) |
中文摘要 | 原發性肝臟腺鱗癌是屬於膽道細胞癌的一種,腫瘤中同時有腺癌的分化也有鱗狀上皮癌的分化,相當少見,目前沒有辦法利用病人的症狀、抽血檢查及影像學檢查就可以直接診斷,必須要靠病理切片才能確診,治療以開刀合併化療為主,預後非常差,大多數的病人在確診後一年內都會死亡。我們這次是要報告一位原發性肝臟腺鱗癌的案例,一開始根據病人的初始症狀(腹部不適、發燒 )及影像學檢查疑似病人有肝膿瘍,但後來經過更進一步的檢查後,確定病人有原發部位不明的轉移癌,在無法找到原發腫瘤的情況下,對肝臟的病灶做切片,最後確定是原發性肝臟腺鱗癌合併多處轉移,雖然確診後立刻接受化療的治療,但病人仍於確診後一個月死亡。我們回顧文獻探討此類複雜病況的策略。 |
英文摘要 | Primary hepatic adenosquamous carcinoma (ASC), a variant cholangiocellular carcinoma (CCC) subtype, is rare with very poor prognosis. It is difficult to diagnosis only with a serum marker and imaging study. We reported a case of primary hepatic ASC presenting with abdominal discomfort and fever. According to clinical features and imaging studies, liver abscess was diagnosed initially. After further evaluation, hepatic tumor with peritoneal carcinomatosis was suspected; biopsy of the hepatic tumor revealed carcinoma with both glandular and squamous differentiation, findings compatible with ASC. Because no other primary site was found for malignancy, primary hepatic ACS with peritoneal carcinomatosis was diagnosed. This patient succumbed from multiple organ failure 1 month after the diagnosis. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。