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題名 | Rupture of a Peritoneal Metastatic Lesion Secondary to Hepatocellular Carcinoma=肝細胞癌腹腔轉移病變的破裂 |
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作者 | 林文傑; 何永仁; 何耀燦; 童寶照; 孫志誠; 徐大聞; 趙世晃; Lin, Wen-jeih; Ho, Yung-zen; Ho, Yaw-hsan; Tung, Bow-shine; Sun, Jyh-cherng; Shyu, Dah-wen; Chao, Seh-huang; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19981100、19981200 |
卷期 | 31:6 民87.11-12 |
頁次 | 頁385-388 |
分類號 | 415.5362 |
語文 | eng |
關鍵詞 | 肝癌; 轉移; Hepatocellular carcinoma; Peritoneal metastasis; Rupture; |
中文摘要 | 一位38歲女性因腹脹及貧血入院。她是位 B 型肝炎帶原者同時也是肝癌患者。七年前,她曾經因為肝癌接受兩次肝切除手術,最近六年來,她接受了19次肝臟血管栓塞療法來控制肝癌的肝內復發。這次住院,經檢查發現左腹有一腫瘤。於剖腹術中,我們發現一8 x 6 x 6公分的破裂腫瘤及大量的血樣腹水。 顯微鏡檢證實這是肝細胞癌轉移病變合併破裂及出血。在既有文獻中,肝癌轉移至肝外部位造成破裂及出血,僅有數例被報告。肝癌轉移至腹腔位置,因破裂造成腹內出血,此病例為可查到文獻中的第三例。 |
英文摘要 | A 38-year-old woman was admitted to our hospital with the chief complaints of adbominal distension and general weakness. She had previously received two operations and many courses of transcatheter arterial embolization for treatment of hepatocellular carcinoma (HCC) in the past 7 years. Laparotomy disclosed a ruptured metastatic lesion on the peritoneal surface, secondary to HCC. Rupture of a metastatic lesion of HCC, especially one located on the peritoneal surface, has rarely been reported in the literature. This case indicates that rupture of a peritoneal metastasis can be one cause of hempoperitoneum in patients with HCC. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。