Primary Malignant Fibrous Histiocytoma of the Liver: Report of a Case

原發性肝臟惡性織維組織瘤：一病例報告

陳志偉(Jyh-Wei Chen) ； 羅錦河(Gin-Ho Lo) ； 黎國洪(Kwok-Hung Lai) ； 張宏泰(Hung-Tai Chang) ； 潘慧本(Huay-Ben Pan) ； 曾暉華(Hui-Hwa Tseng)

《中華民國消化系醫學會雜誌》 12卷4期 (1995/12) Pp. 316-321

https://doi.org/10.6557/GJTa.199512_12(4).0004

摘要

惡性織組織瘤是一種好發在軟組織的肉瘤，通常見於四肢、軀幹，甚少見於頭、頸、內臟。發生在肝臟的病例更是罕見。我們報告一例發生在肝臟的原發性惡性織組織瘤。本報告是一位63歲男性患者，最近一個月因發燒，右上腹疼痛，食慾不振，體重減輕而入院。理學檢查發現右上腹有一約六公分腫塊，電腦斷層掃瞄、超音波掃瞄和血管攝影發現肝臟有一個八公分的腫瘤。輕手術切除，病理診斷證實是惡性織組織瘤。由於該腫瘤極易復發，三年來該病患共接受七次手術。目前狀況穩定，定期在門診追蹤。

關鍵字

原發性惡性織組織瘤 ； 肝臟

並列摘要

Primary malignant fibrous histiocytoma (MFH) of the liver is a rare disease, with only six cases having been reported in the English literatures. A 63 year-old man had fever, right upper quadrant abdominal pain, anorexia, and body weight loss for one month. The ultrasound and CT scan of abdomen and angiography showed a big tumor mass with fine tumor vessels over right lobe of the liver. Exploratory laparotomy was performed and the tumor was resected. Pathological examination and immunohistochemical studies with both vimetin and a-1 antichymotrypsin confirmed the diagnosis. The patient received another six operations for recurrent tumor within 3 years after the first operation. He is still living and regularly followed up.

並列關鍵字

primary malignant fibrous histiocytoma ； liver