HEPATOCELLULAR CARCINOMA WITH SITUS INVERSUS TOTALIS, DEVELOPED IN NON-CIRRHOTIC LIVER-A CASE REPORT-
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- SAWADA Ryugo
- Department of Surgery, Izumi City Hospital
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- SUNAMI Takeshi
- Department of Surgery, Izumi City Hospital
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- TAMURA Tatsuro
- Department of Surgery, Izumi City Hospital
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- YUKIMOTO Kiyotaka
- Department of Surgery, Izumi City Hospital
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- SAKAMOTO Kazutsugu
- Department of Surgery, Izumi City Hospital
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- YAMASHITA Takahumi
- Department of Surgery, Izumi City Hospital
Bibliographic Information
- Other Title
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- 完全内臓逆位症の正常肝に発生した肝細胞癌の1切除例
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Abstract
A 76-year-old man saw a local medical doctor because of a sense of fullness in his upper abdomen. Tumor-like resistance and tenderness were recognized in his left hypochondrium and epigastrium, and he was referred to our hospital under suspicion of pylorus stenosis. Plain chest X-ray revealed dextrocardia, and plain CT revealed that all his abdominal organs were placed inversely. He was diagnosed with situs inversus totalis. Moreover, a large liver tumor was recognized in the right lobe which was located in the patient's left side. According to laboratory tests, both HBs Ag and HCV Ab were negative, but the serum level of AFP and PIVKA-II elevated. Angiography revealed tumor stain in right lobe, and this tumor was diagnosed as hepatocellular carcinoma. No aberrant vessels were detected. After TAE (transcatheter arterial embolization), hepatic right trisegmentectomy was performed. Microscopically, the tumor was diagnosed as a poorly-differentiated hepatocellular carcinoma appearing in the normal liver. We report this case with some bibliographical comments.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (10), 2433-2437, 2006
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001204846700416
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- NII Article ID
- 130003604739
- 10018391249
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed