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肝細胞癌竪棘肌轉移―一例報告

Hepatocellular Carcinoma with Metastasis to Spinal Erector Muscle-Report of a Case

摘要


一位52歲男性病人,因右下腹痛及腰痛來本院求診,經腹部超音波及電腦斷層攝影顯示肝右葉及脊柱右側竪棘肌部位各有一腫瘤。血管攝影除發現兩腫瘤為高度血管分佈外,在肝右葉下方另有兩個較小腫瘤。經由開刀拿取部份竪棘肌腫瘤所做病理檢查,證實為肝細胞癌。病人經其他多項檢查,皆未發現有其他部位之轉移。回轉移部位特殊,故提出報告。

並列摘要


A 52-year-old man was admitted to our hospital due to right lower quadrant and flank pain. Biochemical tests of blood revealed elevated alkaline phosphatase, SGOT, SGPT, sugar (fasting and 2hr PC) and HbA1c. Abdominal echo and CT Scan showed a tumor mass in right lobe of liver and right spinal erector muscle respectively; angiography disclosed 2 more smaller tumors in right lobe of liver inferior to the previous one, all of these 4 tumors were hypervascular. Pathologic findings of the specimen got from the spinal erector muscle tumor confirmed the diagnosis of hepatocellular carcinoma. No more metastatic sites could be found elsewhere.

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