Primary hepatic sarcomatous carcinoma misdiagnosed as liver abscess: A case report
-
摘要: <正>原发性肝肉瘤样癌(primary hepatic sarcomatous carcinoma,PHSC)是一种原发于肝脏的罕见恶性肿瘤,其组织学形态类似于梭形细胞肉瘤,其发病率约占肝脏恶性肿瘤的0. 2%[1]。临床上常因对该疾病认识不足而误诊,导致延误患者治疗。1病例资料患者男性,56岁,因"上腹部隐痛伴反复发热1个月"于2019年2月18日在本院第1次就诊住院。患者于1个月余前无明显诱因出现右上腹部隐痛,不伴腰背放射痛,反复发热,最高39. 2℃。患者至当地医院就诊,肝脏平扫CT示脓肿较囊肿可能性大。当地医院予抗感染治疗,患者发热症状缓解,仍偶有上
-
Key words:
- liver neoplasms /
- liver abscess /
- biopsy
-
[1] LIAO SH,SU TH,JENG YM,et al. Clinical manifestations and outcomes of patients with sarcomatoid hepatocellular carcinoma[J]. Hepatology,2019,69(1):209-221. [2] LI J,LIANG P,ZHANG D,et al. Primary carcinosarcoma of the liver:Imaging features and clinical findings in six cases and a review of the literature[J]. Cancer Imaging,2018,18(1):7. [3] TSUJI Y,OKADA K,FUKUOKA M,et al. Hepatocellular carcinoma with a sarcomatous appearance:Report of a case[J].Surg Today,2001,31(8):735-739. [4] OBARA K,MATSUMOTO N,OKAMOTO M,et al. Insufficient radiofrequency ablation therapy may induce further malignant transformation of hepatocellular carcinoma[J]. Hepatol Int,2008,2(1):116-123. [5] MARIJON H,DOKMAK S,PARADIS V,et al. Epithelial-tomesenchymal transition and acquired resistance to sunitinib in a patient with hepatocellular carcinoma[J]. J Hepatol,2011,54(5):1073-1078. [6] ZHANG GQ,CHEN YQ,WANG XQ. Sarcomatoid hepatocellular carcinoma misdiagnosed by computed tomography and magnetic resonance imaging:A case report[J]. Chin J Med Imaging Technol,2014,30(2):228.(in Chinese)张谷青,陈月芹,王小强.CT、MRI误诊肝肉瘤样癌1例[J].中国医学影像技术,2014,30(2):228. [7] KOO HR,PARK MS,KIM MJ,et al. Radiological and clinical features of sarcomatoid hepatocellular carcinoma in 11 cases[J]. J Comput Assist Tomogr,2008,32(5):745-749. [8] WU H,LIU SL,ZHOU JP,et al. Sarcomatoid hepatocellular carcinoma misdiagnosed as hepatocellular carcinoma:A case report[J]. J Clin Hepatol,2018,34(3):594-595.(in Chinese)吴昊,刘守领,周建鹏,等.肝肉瘤样癌误诊为肝细胞癌1例报告[J].临床肝胆病杂志,2018,34(3):594-595. [9] YUAN JQ,JIANG ZM,HUANG WT,et al. Causes of misdiagnosis of telangiectatic osteosarcoma based on preoperative aspiration biopsy[J]. Chin J Clin Exp Pathol,2017,33(11):1254.(in Chinese)袁俊清,蒋智铭,黄文涛,等.血管扩张型骨肉瘤术前穿刺活检误诊原因分析[J].临床与实验病理学杂志,2017,33(11):1254. [10] HUANG XJ,BA WJ,YIN K. Sarcomatoid carcinoma of gallbladder with intrahepatic abscess:A case report[J]. Diagn Imag Interv Radiol,2019,28(2):141-143.(in Chinese)黄雪洁,巴文娟,尹柯.胆囊肉瘤样癌伴肝内脓肿一例[J].影像诊断与介入放射学,2019,28(2):141-143. [11] HWANG S,LEE SG,LEE YJ,et al. Prognostic impact of sarcomatous change of hepatocellular carcinoma in patients undergoing liver resection and liver transplantation[J]. J Gastrointest Surg,2008,12(4):718-724. [12] JIANG LY,ZHOU HY,MENG X,et al. Multiple and metastatic sarcomatoid hepatocellular carcinoma:A case report and literature review[J]. J Shandong Univ(Health Sciences),2014,52(2):106-108.(in Chinese)蒋力扬,周海燕,孟雪,等.肝肉瘤样癌多发转移1例并文献复习[J].山东大学学报(医学版),2014,52(2):106-108.
本文二维码
计量
- 文章访问数: 1072
- HTML全文浏览量: 16
- PDF下载量: 222
- 被引次数: 0