细针活检确诊以骨转移为首发表现的疑难性肝细胞癌(附2例报告)  

Diagnosis of hepatocellular carcinoma with bone metastasis using fine needle aspiration biopsy:report of 2 cases

作　　者：但汉雷[1] 赵燕[2] 张亚历[1] 余力[3] 张积仁[2] 张振书[1] 

机构地区：[1]第一军医大学南方医院全军消化病研究所,广东广州510515 [2]第一军医大学珠江医院全军肿瘤医学中心,广东广州510282 [3]第一军医大学珠江医院病理科,广东广州510282

出　　处：《第一军医大学学报》2002年第11期978-980,共3页Journal of First Military Medical University

基　　金：广东省自然科学基金(010593)

摘　　要：采取疑难病例评析方法,报告并分析了2例以骨转移为首发表现、临床症状和影像学改变不典型、血清甲胎蛋白不升高、经过细针吸取活检明确诊断的原发性肝细胞癌,提出对于同时存在不典型的肝脏和骨病变的病例,应用细针吸取对骨病变进行活检,方法简单、安全可靠,有利于鉴别诊断,可以避免肝脏活检和对骨病变的手术活检。The clinical presentations and imaging cha ra cteristics of hepatocellular carcinoma (HCC) are usually various and complex. T his article reported 2 cases of HCC with the initial symptoms being bone metasta sis that did not exhibit typical clin-ical manifestations or distinct feature in liver imaging, without elevated serum alpha-fetoprotein. The diagnoses were cer tified by fine needle aspiration biopsy, which is recommended for differential diagnosis in cases of complex HCC with bone metas-tasis, to avoid liver biopsy a nd surgical bone biopsy.

关 键 词：疑难性肝细胞癌 骨肿瘤 病因学 细针吸取活检术 鉴别诊断 HCC 病例分析 

分 类 号：R735.7[医药卫生—肿瘤] R730.43[医药卫生—临床医学]