An Unusual Form of Metastasis of Hepatocellular Carcinoma-Case Report

罕見的肝癌肺轉移形式－支氣管內轉移－病例報告

陳嘉銘(Chia-Ming Chen) ； 陳家弘(Chia-Hung Chen) ； 夏德椿(Te-Chun Hsia) ； 施純明(Chuen-Ming Shih)

《胸腔醫學》 23卷1期 (2008/02) Pp. 8-13

https://doi.org/10.29806/TM.200802.0002

摘要

支氣管內轉移定義為在內視鏡下可見的支氣管內病灶，最終診斷為肺外惡性腫瘤。由於從症狀及影像上不易與原發性肺腫瘤區分，因此常常需要病理組織學來鑑別。肺外腫瘤以支氣管內轉移來表現的相當罕見，造成支氣管內轉移的肺外腫瘤中以乳癌，腎細胞癌及大腸直腸癌最為常見。肝癌合併支氣管內轉移則非常少見，在文獻中，只有兩個病例。我們將報告一個53歲女性肝癌患者，因咳血求診，在胸部X光片上呈現右下肺葉萎陷，經由支氣管鏡做病理切片，確診為肝癌合併支氣管內轉移。

關鍵字

肝癌 ； 支氣管內轉移

並列摘要

Endobronchial metastases (EBM) from extrapulmonary malignant tumors are rare. The most common extrathoracic malignancies associated with EBM are breast, renal and colorectal carcinomas. EBM is defined as bronchoscopically visible lesions histopathologically identical to the primary tumor in patients with extrapulmonary malignancies. Symptoms and radiographic findings are similar to those in primary lung cancer. Therefore, EBM should be differentiated from primary lung cancer histopathologically. Of the many types of extrathoracic tumors capable of EBM, only 2 cases of EBM from hepatocellular carcinoma have been reported in the literature. We report a patient present with right lower lobe collapse and bronchoscopic biopsy-confirmed EBM from hepatocellular carcinoma.

並列關鍵字

hepatoma ； endobronchial metastasis