A case of hepatocellular carcinoma diagnosed based on the result of a bone biopsy, in which the primary hepatocellular carcinoma was identified in the liver 14months after the initial diagnosis

• KUBO Toshiyuki

  First Department of Internal Medicine, Sapporo Medical University

• AKUTSU Noriyuki

  First Department of Internal Medicine, Sapporo Medical University

• WAKASUGI Hideki

  First Department of Internal Medicine, Sapporo Medical University

• SHITANI Masahiro

  First Department of Internal Medicine, Sapporo Medical University

• OHASHI Hirokazu

  First Department of Internal Medicine, Sapporo Medical University

• KASHIWAYA Kotoe

  First Department of Internal Medicine, Sapporo Medical University

• HOSOKAWA Masayo

  First Department of Internal Medicine, Sapporo Medical University

• TAKAGI Hideyasu

  First Department of Internal Medicine, Sapporo Medical University

• YAMAMOTO Hiroyuki

  First Department of Internal Medicine, Sapporo Medical University

• SASAKI Shigeru

  First Department of Internal Medicine, Sapporo Medical University

• MIZUGUCHI Toru

  First Department of Surgery, Sapporo Medical University

• HIRATA Kouichi

  First Department of Surgery, Sapporo Medical University

• HASEGAWA Tadashi

  Department of Pathology, Sapporo Medical University

• SHINOMURA Yasuhisa

  First Department of Internal Medicine, Sapporo Medical University

Bibliographic Information

Other Title

• 骨腫瘍生検で肝細胞癌と診断され，14カ月後に肝内に病変が出現し切除を施行した肝細胞癌の1例

Abstract

A 64-year-old man complained of pain in his left humerus. A histopathological examination of biopsy specimens taken from the lesion revealed a hepatocellular carcinoma. No primary hepatic lesion was revealed in a subsequent examination performed at this time. Enhanced computed tomography examination of the abdomen 14months later, showed a nodular lesion, approximately 15mm in diameter, therefore a partial hepatectomy was performed. The lesion was histopathologically diagnosed as a moderately-poorly differentiated hepatocellular carcinoma. The inability to identify the primary hepatocellular carcinoma is quite rare, and the present case may be the first report of the discovery of the primary hepatocellular cancer after the diagnosis of a secondary lesion.<br>

Journal

• Nippon Shokakibyo Gakkai Zasshi

  Nippon Shokakibyo Gakkai Zasshi 108 (5), 805-812, 2011

  The Japanese Society of Gastroenterology

Keywords

• 肝細胞癌
• 骨転移
• 原発巣不明
• 異時性発癌

Details

• CRID: 1390282681375748480
• NII Article ID: 10030297436
• NII Book ID: AN00192124
• DOI: 10.11405/nisshoshi.108.805
• ISSN: 13497693
• ISSN: 04466586
• Web Site: https://search.jamas.or.jp/link/ui/2011215068
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed