ID 101821
Title Transcription
チョメイナ ノウホウ ケイセイ オ トモナッタ カンサイボウ ガン ノ 1ジケンレイ
Title Alternative
A case report of Hepatocellular Carcinoma associated with cystic formation
Author
Matsuyama, Kazuo
Yagi, Toshiyuki Department of Surgery, Tokushima Prefectural Central Hospital
Ogata, Yorihiko Department of Surgery, Tokushima Prefectural Central Hospital
Hirose, Toshiyuki Department of Surgery, Tokushima Prefectural Central Hospital
Kanoh, Masashi Department of Surgery, Tokushima Prefectural Central Hospital
Chikugo, Fumio Department of Surgery, Tokushima Prefectural Central Hospital
Matsumura, Toshinobu Department of Surgery, Tokushima Prefectural Central Hospital
Sumitomo, Masayuki Department of Surgery, Tokushima Prefectural Central Hospital
Miki, Hitoshi Department of Surgery, Tokushima Prefectural Central Hospital
Takai, Shigeharu Department of Surgery, Tokushima Prefectural Central Hospital
Fujino, Ryozo Department of Surgery, Tokushima Prefectural Central Hospital
Kurogami, Kazuyoshi Department of Surgery, Tokushima Prefectural Central Hospital
Mukaijo, Toshifumi Department of Radiology, Tokushima Prefectural Central Hospital
Takahashi, Masamichi Department of Histology, Tokushima Prefectural Central Hospital
Keywords
Hepatocellular Carcinoma
cystic formation
hepatic sarcoma
Content Type
Journal Article
Description
It is said that in hepatocellular carcinoma, necrosis is liable to occur in the center and
the percentage of cystic formation is comparatively low, but as we have experienced one
case of hepatocellular carcinoma associated with marked cystic formation, we reported it.
The patient was a female aged70years. Because general fatigue and anorexia occurred,
Abdominal CT test was conducted and hepatic mass was pointed out. Contrast-CT test
showed a tumor of6cm in diameter in the medial segment of the left lobe of the liver. As
the border was stained with arterial phase, the center was not imaged and the tumor was
diagnosed as vascular proliferating type hepatic tumor associated with marked cystic
change. MRI test showed that the border of the tumor was lobular and part thereof was of
septal structure. The tumor was diagnosed as hepatocellular carcinoma associated with
bleeding in tumor, hepatic cystadenocarcinoma or hepatic sarcoma. Abdominal angiography
showed not only marked vascular proliferation and tumor stain in the area of the middle
hepatic artery but also early venous return, and the middle hepatic vein was clearly imaged.
The tumor size was 5×5×4cm in size and was in contact with the middle hepatic vein
but it did not invade the vein. Left hepatic lobectomy was performed. Histopathologically
the center of the tumor was cystic with colliquative necrosis. The tumor had the trabecular
structure and the tumor cell was consisted of clear cell. The tumor was thus diagnosed as
poorly differentiated hepatocellular carcinoma. Postoperative course was good and the patient
was discharged from our hospital on the19th day after operation. At the moment when19
months have passed since the operation, the patient is alive without any recurrence of
carcinoma.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
60
Issue
1-2
Start Page
33
End Page
38
Sort Key
33
Published Date
2004-05-25
Remark
FullText File
language
jpn