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題名 | Metastatic Hepatocellular Carcinoma Presenting as Hemocholecyst with Perforation: A Case Report=肝細胞癌轉移至膽囊初始臨床表徵為膽內出血及穿孔:一病例報告 |
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作者 | 張國明; 鄭國祥; 楊斐適; 陳碧芳; Chang, Kuo-ming; Jeng, Kuo-shyang; Yang, Fei-shih; Chen, Be-fong; |
期刊 | 中華醫學雜誌 |
出版日期 | 19981000 |
卷期 | 61:10 1998.10[民87.10] |
頁次 | 頁613-618 |
分類號 | 415.456 |
語文 | eng |
關鍵詞 | 膽囊; 膽囊出血; 肝細胞癌; 轉移; Gallbladder; Hemocholecyst; Hepatocellular carcinoma; Metastasis; |
中文摘要 | 肝細胞癌通常較少轉移至膽囊,現有文獻也少詳論此問題,當然因這種轉移而引 發之重要臨床病症也罕有報導。本文闡述 1病例,因具有此種移而引發膽內出血併發膽囊穿 孔,且以急性腹痛為最初之臨床表現,在緊急切除膽囊時才得知其患有肝癌。我們並據其臨 床及病理之發現,探討此病例較可能之轉移機轉。 |
英文摘要 | In cases of hepatocellular carcinoma (HCC), the gallbladder is less frequently involved and metastasis to the gallbladder, together with its significant clinical manifestations, is rarely discussed in the literature in detail. HCC with metastasis to the gallbladder, initially presenting as gallbladder intraluminal hemorrhage and perforation, has not been previously reported. We present a case of HCC disclosed by emergency cholecystectomy for hemocholecyst with perforation. Evaluation of the possible metasatic mechanisms is also discussed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。