肉腫様変化を伴った肝細胞癌の１例

• 村松 友義

  玉島中央病院外科

• 丸高 雅仁

  玉島中央病院外科

• 松三 彰

  玉島中央病院外科

• 渡邊 直美

  玉島中央病院内科

• 村上 和春

  玉島中央病院内科

• 能勢 総一郎

  岡山済生会総合病院病理

書誌事項

タイトル別名

• Hepatocellular carcinoma with sarcomatous change-A case report.

抄録

A 58-year-old man was seen at the hospital because of fever. On a blood biochemical study, increases in white blood cell count and CRP were noted. Abdominal ultrasonography revealed a hypoechoic tumor 6cm in diameter with halo mainly situating in the S4 of liver. It was visualized as LDA and somewhat heterogeneous mass on an abdominal plain CT and an enhanced CT scans, respectively. On abdominal magnetic resonance imaging (MRI) scans, Tl-weighted, T2-weighted, and Ga visualized a heterogeneous tumor. Abdominal angiography revealed a hypovascular tumor. Sarcoma was suspected by a biopsy, but a possibility of inflammatory pseudotumor or metastatic hepatic cancer could not be ruled out. A medial disegmentectomy of liver was performed. The tumor was mainly composed of spindle atypical cells histopathologically. It showed a positive reaction to vimentin only at immunological stainings, but sinusoidal pattern was observed in places. Consequently, hepatocellular carcinoma with sarcomatous change was diagnosed.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 63 (4), 972-977, 2002

  日本臨床外科学会

キーワード

• 肝細胞癌
• 肉腫様変化

詳細情報

• CRID: 1390282679822871936
• NII論文ID: 10008619100
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.63.972
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/63/4/63_4_972/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2002192579
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可