同时发生的肝肉瘤样癌与肝细胞癌一例并文献复习  

Simultaneous occurrence of sarcomatoid hepatocellular carcinoma and hepatocellular carcinoma:A case report and review of the literature

作　　者：杨建栋[1] 高建军[1] 左中[1] 罗逸潜[1] 

机构地区：[1]解放军第210医院普通外科,辽宁大连116021

出　　处：《现代肿瘤医学》2017年第14期2272-2275,共4页Journal of Modern Oncology

基　　金：辽宁省科学技术基金资助项目(编号:2015020412)

摘　　要：目的:探讨肝肉瘤样癌患者的临床表现、诊断、治疗方法及预后。方法:结合我院收治的1例同时发生的肝肉瘤样癌与肝细胞癌患者,并复习国内外文献,分析该病的临床特点,实验室检查、影像学及病理学表现,治疗及预后。结果:肝肉瘤样癌临床上较少见,病理学上肿瘤包含上皮样成分及梭形细胞肉瘤样成分,肿瘤生长迅速,恶性程度高,预后差。结论:肝肉瘤样癌与肝细胞癌同时发生的病例临床罕见,病因不明,预后较差。Objective: To explore the clinical manifestations,diagnosis,treatment and prognosis of patient with sarcomatoid hepatocellular carcinoma. Methods: Combined with a patient in our hospital with simultaneous occurrence of sarcomatoid hepatocellular carcinoma and hepatocellular carcinoma,the literatures both at home and abroad were reviewed. Analyze the clinical characteristics,laboratory examinations,imagings and pathological manifestations,treatment and prognosis of sarcomatoid hepatocellular carcinoma. Results: Sarcomatoid hepatocellular carcinoma,composed with a mixture of epithelial and sarcomatous elements,is an aggressive tumor exhibiting rapid growth and poor prognosis. Conclusion: Sarcomatoid hepatocellular carcinoma occurring simultaneously with hepatocellular carcinoma is very rare,with only a few reports worldwide. The etiology of the sarcomatoid hepatocellular carcinoma remains unclear and the prognosis of the patients is poor.

关 键 词：肝肉瘤样癌 肝细胞癌 同时发生 

分 类 号：R735.7[医药卫生—肿瘤]