放射線治療によって消失した肉腫様の組織像を呈する肝細胞癌の歯肉転移の１例

• 菊地 良直

  横浜市立大学医学部口腔外科学講座

• 筑丸 寛

  横浜市立大学医学部口腔外科学講座

• 廣田 誠

  横浜市立大学医学部口腔外科学講座

• 青木 伸二郎

  横浜市立大学医学部口腔外科学講座

• 川辺 良一

  横浜市立大学医学部口腔外科学講座

• 藤田 浄秀

  横浜市立大学医学部口腔外科学講座

書誌事項

タイトル別名

• Gingival metastasis from primary hepatocellular carcinoma with sarcomatoid changes responding to radiotherapy

抄録

Hepatocellular carcinoma (HCC) with sarcomatoid changes is a rare neoplasm more frequently associated with extrahepatic metastasis than ordinary HCC. A case of gingival metastasis from primary HCC with sarcomatoid changes is described. A 67-year-old man presented with a gingival tumor. The patient had a history of HCC, treated by percutaneous ethanol injection (PEIT) and transcatheter arterial embolization (TAE). Three years after treatment, recurrence and the gingival tumor were recognized. The gingival tumor was dark red and bled easily. Biopsy was carried out, and the diagnosis was a metastatic tumor from the HCC with sarcomatoid changes. The tumor size was so large that the patient complained of difficulty in mastication. Radiotherapy was used to shrink the gingival tumor. It was very effective, and the tumor disappeared in response to only 40 Gy irradiation. Complications of irradiation were not serious, and radiostomatitis resolved promptly. The gingival tumor has not recurred. The patient was able to eat more than before treatment. Radiotherapy of the gingival tumor improved the patient's quality of life.

収録刊行物

• 日本口腔外科学会雑誌

  日本口腔外科学会雑誌 50 (8), 499-502, 2004

  社団法人 日本口腔外科学会

キーワード

• 歯肉転移
• 肝細胞癌
• 肉腫様変化
• 放射線治療

詳細情報

• CRID: 1390001206532960896
• NII論文ID: 10018619503
• NII書誌ID: AN00189163
• DOI: 10.5794/jjoms.50.499
• ISSN: 21861579
• ISSN: 00215163
• Web Site: https://search.jamas.or.jp/link/ui/2005017015
• 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