[A case of cranial metastasis of hepatocellular carcinoma].
[A case of cranial metastasis of hepatocellular carcinoma].
复制标题
肝细胞癌颅内转移一例[J].
DOI：
10.1159/000325689
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Y. Yoshioka
中科院分区：
文献类型：
--
作者：
M. Shibukawa;T. Inagawa;Y. Katoh;Y. Tokuda;N. Ohbayashi;Y. Yoshioka
报告1例肝细胞癌颅内转移。一位77岁女性，因右颞部弹性硬肿瘤于1992年4月30日转介至我科。入院时，患者左上肢轻微无力。头颅X线平片及电脑断层扫描（CT）显示右颞区骨质破坏。磁共振成像（MRI）显示肿瘤在T1序列上呈低信号，在T2序列上呈高信号，在T1和T2图像上均出现高信号斑点。右侧颈动脉造影显示肿瘤由脑膜中动脉和脑膜副动脉供血。1992年5月4日，患者出现定向障碍，左侧轻偏瘫恶化。CT扫描显示肿瘤内有不规则高密度区，因为瘤内出血。栓塞肿瘤供血动脉后，于1992年5月8日进行手术，肿瘤被完全切除。肿瘤标本的组织学检查显示，这是一个转移性肝细胞癌。患者在初次诊断后8个月死于肝细胞癌。
A case of cranial metastasis of hepatocellular carcinoma is reported. A 77-year-old woman with an elastic hard tumor in the right temporal region was referred to our department on April 30, 1992. On admission, the patient had slight weakness of the left upper limb. Plain skull X-ray and computed tomography (CT) showed bone destruction in the right temporal region. Magnetic resonance images (MRI) showed that the tumor was hypo-intense with T1-sequences and hyper-intense with T2-sequences, and included hyper-intense spots on both T1- and T2-images. Right carotid angiography showed that the tumor was fed by the middle meningeal and accessory meningeal arteries. The patient became disoriented, and the left hemiparesis worsened on May 4, 1992. CT scan revealed an irregular high-density area in the tumor because of intratumoral hemorrhage. After embolization of the arteries feeding the tumor, surgery was performed on May 8, 1992, and the tumor was totally removed. Histological examination of the tumor specimen revealed that it was a metastatic hepatocellular carcinoma. The patient died 8 months after initial diagnosis because of hepatocellular carcinoma.