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ファイル
言語
英語
属性
症例報告
著者
齋藤 宰
佐藤 秀一
Okuyama Keisuke
Hanaoka Takuya
三宅 達也
石原 俊治
天野 祐二
Fujii Toshiyuki
内容記述(抄録等)
A man in his 60s was introduced for a further examination of chronic hepatitis C virus infection, and two nodules were detected in the liver by abdominal ultrasonography (US). Serum alpha-fetoprotein was elevated (56 ng/ml). The nodules were identified in various imaging examinations (abdominal US, contrast-enhanced US, contrast-enhanced CT and Gd-EOB-DTPA MRI) in segment 8 of the liver, both of which showed a typical contrast-enhanced pattern of hepatocellular carcinoma (HCC). Preoperatively diagnosed as HCC, a surgery was performed on these lesions. The pathological examinations of resected specimens showed of the two nodules were HCC and cholangiocellular carcinoma (ICC), respectively. There are only a few reports for double cancer complicated HCC and ICC at the same time. Then, it should be noted that many of them are preoperatively assumed as multiple HCC. Our case indicates that we need to take into consideration the likelihood of ICC even when multiple HCC are suggested from imaging diagnosis, because the treatment strategies for HCC and ICC are quite different.
主題
hepatocellular carcinoma (HCC)
cholangiocellular carcinoma (ICC)
double cancer
掲載誌名
Shimane journal of medical science
29
2
開始ページ
87
終了ページ
92
ISSN
03865959
ISSN(Online)
24332410
発行日
2013-02-01
NCID
AA00841586
出版者
Shimane University Faculty of Medicine
資料タイプ
紀要論文
ファイル形式
PDF
著者版/出版社版
出版社版
部局
医学部
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