肉瘤样型肝细胞癌1例  

A Case Report of Sarcomatoid Hepatocellular Carcinoma

作　　者：杨敏[1] 欧阳小明[2] 邱倩宜 侯成功 谭理连[1] 利晞[1] YANG Min;OUYANG Xiao-ming;QIU Qian-yi;HOU Cheng-gong;TAN Li-lian;LI Xi(Department of Radiology,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,Guangdong Province,China;Department of Pathology,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,Guangdong Province,China)

机构地区：[1]广州医科大学附属第二医院放射科,广东广州510260 [2]广州医科大学附属第二医院病理科,广东广州510260

出　　处：《罕少疾病杂志》2022年第2期10-11,共2页Journal of Rare and Uncommon Diseases

摘　　要：肉瘤样癌,是含有癌性和肉瘤性成分的混合物。肉瘤样型肝细胞癌,是肝细胞癌的一种罕见亚型,易转移,预后较差。患者中年男性,因右上腹痛2周余入院,查体腹部膨隆,有压痛、无反跳痛,实验室检查甲胎蛋白明显增高,影像检查发现肝内多发占位。病理示肉瘤样型肝细胞癌,免疫组化示Vim(+),CK(灶性+)。Sarcomatoid carcinoma is a mixture containing cancerous and sarcomatous components. Sarcomatoid hepatocellular carcinoma, a rare subtype of hepatocellular carcinoma, is prone to metastasis with a poor prognosis. The patient, a middle-aged male, was admitted to the hospital with right upper abdominal pain for more than 2 weeks. On examination, the abdomen was bulging with pressure pain and no rebound pain. The alpha-fetoprotein was significantly increased in laboratory examinations, and the imaging examination revealed multiple intrahepatic spaceoccupying. Pathology showed sarcomatoid hepatocellular carcinoma, and immunohistochemistry showed Vim(+) and CK(focal +).

关 键 词：肝肿瘤 肝细胞癌 肉瘤样癌 

分 类 号：R445[医药卫生—影像医学与核医学] R735.7[医药卫生—诊断学]