頁籤選單縮合
題名 | Cavernous Sinus Syndrome and Hepatoma Metastasis=海綿竇症候群與肝癌轉移 |
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作者姓名(中文) | 高慧如; 鄭舜田; 陳偉熹; 尹莘玲; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 14:2 1998.02[民87.02] |
頁次 | 頁117-120 |
分類號 | 415.9 |
關鍵詞 | 海綿竇症候群; 肝癌轉移; Hepatoma; Cavernous sinus syndrome; Metastasis; |
語文 | 英文(English) |
中文摘要 | 本文報告一位45歲男性,以左側海綿竇症候群表現,並在20天後,突然發生右腿劇烈疼痛,腦電腦斷層顯示同側破裂孔有擴大,鼻咽部異常顯影及海綿竇影像異常,腰部核磁共振發現L5-S1處有一巨大腫瘤,因此懷疑病例是轉移癌,初期腫瘤檢查CEA 8.0 ng/ml, TPA 544 IU/L及-EP 15 ng/ml,肝酵素正常,但兩週後α-FP急劇上升至700 ng/ml, TPA至1,133 IU/L,肝酵素亦上升,肝臟穿刺檢查證實是clear cell癌,病 人在安排經皮動脈栓塞前因急性肝臟衰竭不治死亡。由本病例得知,肝臟轉移必須在海綿竇症候群中辨別, 尤其臺灣是肝癌危險區域,肝酵素正常或α-FP只輕度上升並未代表排除肝癌之可能性。 |
英文摘要 | A 46-year-old man presented with left cavernous sinus syndrome and subsequent right leg pain proved clear cell type hepatocellular carcinoma metastasis. An initial liver function test was normal and u-fetoprotein was only 15 ng/mI but they increased rapidly and he progressed to hepatic failure 2 weeks later. Therefore, a subclinical hepatoma with metastasis should be differentiated in cavernous sinus syndrome, even in cases of normal hepatic enzymes, because hepatoma is prevalent in Taiwan. |
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