A case of sarcomatoid combined hepatocellular-cholangiocarcinoma
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摘要:
<正>1病例资料患者男性,56岁,因"持续性右上腹痛10 d"于2015年12月21日入本院治疗。既往乙型肝炎病史10年,未行抗病毒治疗。体格检查:中上腹明显压痛以及肝区扣击痛。生化检查:AFP 2804. 00 ng/ml,AFP异质体L3325. 80 ng/ml,CEA 3. 85ng/ml,CA19-9<0. 6 U/ml; HBsA g阳性,HBV DNA 6. 55×103IU/ml。超声示:肝右后叶实性肿物,中高回声伴散在液性区,
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Key words:
- liver neoplasms /
- mixed tumor, malignant /
- sarcoma /
- case reports
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[1]AKIBA J, NAKASHIMA O, HATTORI S, et al.Clinicopathologic analysis of combined hepatocellular-cholangiocarcinoma according to the latest WHO classification[J].Am J Surg Pathol, 2013, 37 (4) :496-505. [2]YOSHIDA N, MIDORIKAWA Y, KAJIWARA T, et al.Hepatocellular carcinoma with sarcomatoid change without anticancer therapies[J].Case Rep Gastroenterol, 2013, 7 (1) :169. [3]KOU K, CHEN YG, ZHOU JP, et al.A case of sarcomatoid hepatocellular carcinoma[J].J Clin Hepatol, 2017, 33 (6) :1145-1146. (in Chinese) 寇凯, 陈玉国, 周建鹏, 等.肝肉瘤样癌1例报告[J].临床肝胆病杂志, 2017, 33 (6) :1145-1146. [4]PUA U, LOW S, TAN Y, et al.Combined hepatocellular and cholangiocarcinoma with sarcomatoid transformation:Radiologic-pathologic correlation of a case[J].Hepatol Int, 2009, 3 (4) :587-592. [5]GU Q, YU X, CHEN H, et al.Clinicopathological features of combined hepatocellular-cholangiocarcinoma with sarcomatous change[J].Medicine, 2018, 97 (3) :e9640.
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