- 期刊
Primary Hepatic Carcinoid Tumor: Report of a Case
原發性肝類癌：－病例報告
摘要
原發性肝類癌則極為罕見。我們報告一位十九歲男性，過去無特殊病史，住院前三週開始有右上腹痛、以及摸到腹部腫塊。門診時，腹部超音波及腹部電腦斷層發現左肝有一巨大腫塊，懷疑為肝細胞癌或肝母細胞瘤。住院後安排肝動脈血管攝影顯示為高度血管化腫瘤。因高度懷疑為惡陸腫瘤，因而進一步接受左肝葉切除手術及膽囊摘除術。肝臟病理切片顯示為類癌。在台灣，大部分的高度血管化肝腫瘤為肝細胞癌；然而神經內分泌瘤如類癌應該列入考慮，特別是年輕人。
關鍵字
原發性肝類癌並列摘要
Primary hepatic carcinoid tumor is extremely rare. We report a 19-year-old man who presented with a 3-week history of right upper quadrant pain and a palpable abdominal mass. He visited our out patient department, where abdominal sonography and abdominal CT were performed. The results indicated either hepatocellular carcinoma (HCC) or hepatoblastoma. Hepatic arteriography was performed after admission. Hypervascular tumor was confirmed by arteriography. The patient underwent left lobectomy and cholecystectomy. Pathological examination of the resected specimen revealed carcinoid tumor In Taiwan, most hypervascular tumors of liver are HCC; however; neuroendocrine tumors such as carcinoid tumor should be considered, especially in young patient.
延伸閱讀
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