Ectopic hepatocellular carcinoma of the diaphragm

Ectopic hepatocellular carcinoma of the diaphragm
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DOI:
10.1007/s10620-006-9329-4
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发表时间:
2007-04-01
影响因子:
3.1
通讯作者:
Cheng, Yeung-Leung
Cheng, Yeung-Leung
中科院分区:
医学3区
文献类型:
--
作者:
Huang, Tsai-Wang;Chan, De-Chuan;Cheng, Yeung-Leung

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异位性肝细胞癌(HCC)是非常罕见的报告。它可能发生在不同的地点。据我们所知,仅报道了一例隔膜异位肝癌病例。我们提出另一个这样的情况下,侵犯肺。进行左半膈次全切除术、肺楔形切除术(左下叶)和脾切除术。术后病程无明显变化; 1个月后,患者接受了2个疗程的顺铂、VP-16和博来霉素辅助化疗。8个月后进行计算机断层扫描和超声随访;没有局部复发或远端转移。
Ectopic hepatocellular carcinoma (HCC) is very rarely reported. It may occur at various sites. To the best of our knowledge, only one case of ectopic HCC of the diaphragm has been reported. We present another such case with invasion to the lung. Subtotal resection of the left hemidiaphragm, wedge resection of the lung (left lower lobe), and splenectomy were undertaken. Postoperative course was unremarkable; the patient received two courses of adjuvant chemotherapy with cisplatin, VP-16, and bleomycin 1 month later. Follow-up computed tomography and ultrasound were performed 8 months later; there was no local recurrence or distal metastasis.