查詢結果分析
來源資料
相關文獻
- Hepatic Actinomycosis after Radical Gastrectomy Mimicking Metastatic Hepatic Tumor: A Case Report
- Afferent Loop Syndrome Caused by a Duodenal Phytobezoar--A Case Report
- A Comparative Study of Gastric Histopathology after Partial Gastrectomy Between the Gastroenterostomy Area and Gastric Body
- Endoscopic Papillary Balloon Dilation for the Management of Common Bile Duct Stones in Patients of Subtotal Gastrectomy with Billroth Ⅱ Anastomosis
- 接受部分胃切除手術的胃癌病患術後進食情況及其相關因素之探討
- Reflux Esophagitis after Proximal Subtotal Gastrectomy
- Stent-guided Sphincterotomy in Billroth Ⅱ Gastrectomy Patients
- Proximal Third Gastric Adenocarcinoma: Results of Total Gastrectomy by General Surgeons and Analysis of Prognostic Factors
- Gastric Emphysema Secondary to Pyloric Stenosis--A Case Report
- Benefits of Palliative Surgery for Far-Advanced Gastric Cancer
頁籤選單縮合
題 名 | Hepatic Actinomycosis after Radical Gastrectomy Mimicking Metastatic Hepatic Tumor: A Case Report=肝放線菌症疑似根治性胃次全切除後之轉移肝腫瘤:一病例報告 |
---|---|
作 者 | 曾旭弘; 吳鴻昇; 吳誠中; 劉自嘉; 吳天成; | 書刊名 | 醫學研究 |
卷 期 | 19:5 1999.03[民88.03] |
頁 次 | 頁292-297 |
分類號 | 416.24 |
關鍵詞 | 肝放線菌病; 胃切除; Liver actinomycosis; Gastrectomy; |
語 文 | 英文(English) |
中文摘要 | 肝放線菌症為罕見之傳染病,約佔放線菌症5%。由於其非特定性症狀,易造成誤診,常須以細針抽取病灶標本或手術切除後才能以病理確切診斷。治療以長期給與高劑量青黴素為主。本文報告一肝放線菌症之病例。一位59歲男性病患因胃癌作根冶性胃次全切除,六年後,病人感覺食慾不振約兩個月,影像檢查意外發現有葉肝臟有一腫瘤,血液與生化檢驗及血清腫瘤指數並未超出正常範圍,手術前懷疑為轉移性癌或肝原發性癌。經肝葉部分切除後,病理報告為放線菌病。術後不須長期使用抗生素,且追蹤二年並未有再發現象。對此肝病灶之成因尚未明,推斷應與前次術後免疫力降低及某處腹內感染有關。在肝癌盛行率高之地區如臺灣,肝放線菌病仍須被考慮,若適合手術切除,經皮穿肝細針切片應盡量避免,審慎地手術切除此類單一不具活性之病灶亦可達成治癒目標。 |
英文摘要 | Hepatic actinomycosis is a rare infectious disease which accounts for 5% of all actinomycotic diseases. It is easily misdiagnosed due to nonspecific symptoms and signs. Accurate diagnosis is usually made from pathological findings of sulfur granule after fine needle aspiration or surgical resection. Long-term and high dose of penicillin is treatment of choice with satisfactory results. A 59 year-old male presented with poor appetite for two months, 6 years after receiving radical subtotal gastrectomy. A liver mass was noted on imaging studies. Metastatic liver tumor was first impressed preoperatively for normal tumor marker and normal laboratory examinations. After partial hepatectomy for the lesion, liver actinomycosis was reported by pathological findings. No antibiotic was given post-operatively and no recurrence was found in a period of 2 years follow-up. The etiology of this liver lesion remains uncertain. W presume that the lesion was due to mucosal barrier destroyed by previous surgery. It should be kept in mind that even in areas of high prevalence rate of hepatocellular carcinoma, such as Taiwan, liver actinomycosis is still a possible cause of liver masses. Fine-needle aspiration should be held if surgery is indicated. A delicate and careful surgical resection for this inactive solitary and consolidation lesion can cure this disease. |
本系統中英文摘要資訊取自各篇刊載內容。