原发性肝癌胰腺转移伴胰腺黏液性囊腺瘤一例  

Primary hepatic carcinoma patients with pancreatic metastasis combined with mucinous cystadenoma: a case report

作　　者：华永永 李志[1] 吴红芬 符国珍[1] 张剑权[1] 陈春华 符真[1] Hua Yongyong;Li Zhi;Wu Hongfen;Fu Guozhen;Zhang Jianquan;Chen Chunhua;Fu Zhen(Department of Hepatobiliary Surgery, Central South University Xiangya School of Medicine Affiliated Haikou Hospital, Haikou 570208, China;Department of Digestive Medicine, Central South University Xiangya School of Medicine Affiliated Haikou Hospital, Haikou 570208, China)

机构地区：[1]中南大学湘雅医学院附属海口医院肝胆外科,海口570208 [2]中南大学湘雅医学院附属海口医院消化内科,海口570208

出　　处：《中华肝胆外科杂志》2019年第5期380-382,共3页Chinese Journal of Hepatobiliary Surgery

基　　金：海南省科技资助项目(ZDXM2015082);海南省自然科学基金(817382).

摘　　要：患者男性,70岁,因"右上腹痛半年余,发现肝占位1周"入院。患者半年前无明显诱因出现右上腹痛,呈持续性闷痛,1周前腹痛加重。经腹部CT、MRI等检查,考虑为原发性肝癌、胰腺囊腺瘤。剖腹探查术中见结节性肝硬化,肝Ⅵ段7.0 cm × 4.0 cm肿块,质硬,边界欠清,可见包膜。胰头颈部见多个囊状肿物,边界不清。行肝Ⅵ段切除、Ⅴ段部分切除、胆囊切除术。术中结合病理综合考虑为晚期肝癌并远处转移。行姑息性手术治疗。术后病理结果:胰腺黏液性囊腺瘤;肝细胞性肝癌,低分化等。术后患者恢复良好。

关 键 词：原发性肝癌 胰腺囊腺瘤 黏液性囊腺瘤 远处转移 右上腹痛 肝细胞性肝癌 术后患者 病理结果 

分 类 号：R735.7[医药卫生—肿瘤]