非アルコール性脂肪性肝炎に細胆管細胞癌と肝細胞癌を合併した1例

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  • A case of double cholangiolocellular carcinoma and hepatocellular carcinoma complicated with non-alcoholic steatohepatitis
  • ショウレイ ホウコク ヒアルコールセイ シボウセイ カンエン ニ サイタンカン サイボウガン ト カン サイボウガン オ ガッペイ シタ 1レイ

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We report rare case of double cholangiolocellular carcinoma (CLC) and hepatocellular carcinoma complicated with non-alcoholic steatohepatitis (NASH). A 68-years old female with NASH was admitted to the hospital for examination and treatment of multiple hepatic tumors. Gd-EOB-DTPA enhanced MRI showed that tumor was located in segment 3, segment 4, and segment 6. The angiography and CT during angiography showed additional three tumors in segment 1 and segment 6. These tumors might be different tumor origin because of different imaging pattern. Operation was performed in segment 3 and 4, and RFA was performed in segment 1 and 6 because these tumors were diagnosed as hepatocellular carcinoma. Whitish tumor with clear margin which has no fibrous capsule was seen in tumor in segment 3. Pathologically, tumor in segment 3 showed CLC. Tumor in segment 4 was diagnosed as dysplastic nodule.<br>

収録刊行物

  • 肝臓

    肝臓 53 (10), 615-623, 2012

    一般社団法人　日本肝臓学会

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