摘要
肝細胞癌（肝癌）是台灣和世界常見癌症死因之一，肝癌病人的轉移不管生前或死後的研究都是以肺部最多。我們研究了964個肝癌病人，他們是從1998年1月到1999年12月住在高雄醫學大學附設中和紀念醫院的病人。從胸部X光的檢查追蹤總共有51位肺部移轉的病人被診斷出來。這些肺部轉移的病人在肺部X光片上的主要表現是多發性結節（43名病人）和肋膜積水（16名病人），另外有5名病人是單一結節和一名肺部癌性淋巴管炎的病人。大部分的病例是從右下肺野開始發生。 此外，我們研究肺癌病人肺部轉移的生存時間。51位病人的中間存活時間是10個月，一旦肺部轉移被發現後期平均存活時間是3.3個月。
並列摘要
Hepatocellular carcinoma (HCC) is one of the leading causes of malignancy in Taiwan and in the world. Pulmonary metastasis is the most common extrahepatic metastasis, according to antemortem and postmortem studies. We reviewed 964 HCC patients who were admitted to Kaohsiung Medical University Hospital from Jan 1998 to Dec 1999. Among them, there were 51 (5.3%) HCC cases with pulmonary metastasis. The main presentations of HCC with pulmonary metastasis on the chest x-ray were multiple nodules (43 cases) and pleural effusion (16 cases). Five patients with a solitary nodule, and one with lymphangitic carcinomatosis of the lung, were also found. The common characteristic of these metastases was that most cases arose from the lower right lung field. Additionally, we studied the survival time of the HCC patients with pulmonary metastasis. The median survival time of these 51 cases was 10 months. Once pulmonary metastasis was found, the mean survival time was 3.3 months.