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肝肉瘤样癌伴类白血病反应1例报告

储玉山 朱小庆 张玉宇 赵辉

引用本文:
Citation:

肝肉瘤样癌伴类白血病反应1例报告

DOI: 10.3969/j.issn.1001-5256.2020.02.036
详细信息
  • 中图分类号: R735.7

Sarcomatoid hepatocellular carcinoma with leukemoid reaction: A case report

  • 摘要:

    <正>1病例资料患者男性,65岁,因"上腹部疼痛3 d"于2017年10月7日入本院。既往史:糖尿病病史5年,口服二甲双胍,控制情况不详。否认肝炎、结核等传染病病史,无吸烟饮酒嗜好,无家族遗传病史。入院查体:腹部平软,上腹部有压痛伴肌卫,无反跳痛,肝脾肋下未及,无移动性浊音,双下肢无浮肿。血常规:白细胞计数28. 3×109/L,中性粒细胞分类91. 2%,中性粒细胞计数25. 81×109/L,血红蛋白93 g/L,血小板计数163. 0×109/L。肝功能检查:AST 205 U/L,ALT 76 U/L,TBil 40. 0μmol/L,DBil29. 1μmol/L,Alb 24. 7 g/L。AFP 3. 59 ng/ml。

     

  • [1] LIU KH,YEH TS,HWANG TL,et al. Surgical management of gallbladder sarcomatoid carcinoma[J]. World J Gastroenterol,2009,15(15):1876-1879.
    [2] FANG XH,LIN XP. New knowledge of sarcomatoid carcinoma and carcinosarcoma[J]. Cancer Res Clinic,2005,17(2):138-139.(in Chinese)方铣华,林雪平.肉瘤样癌及癌肉瘤的新认识[J].肿瘤研究及临床,2005,17(2):138-139.
    [3] HUANG HJ,YU YH,ZHENG ZY. Clinicopathologic analysis of sarcomatoid hepatocellular carcinoma[J]. World Chin J Dig,2010,18(17):1780-1785.(in Chinese)黄海建,余英豪,郑智勇.肝肉瘤样癌的临床病理特征[J].世界华人消化杂志,2010,18(17):1780-1785.
    [4] SHANG PZ,LI YQ,LI XJ. Diagnosis and treatment of sarcomatoid hepatocellular carcinoma[J/CD]. Chin Arch Gen Surg(Electronic Edition),2016,10(5):378-380.(in Chinese)尚培中,李永庆,李兴杰.肝肉瘤样癌的诊断与治疗[J/CD].中华普通外科学文献(电子版),2016,10(5):378-380.
    [5] HAYASHI T,HONDA H,KANEKO K,et al. Hepatocellular carcinoma with pyrexia:Report of a case[J]. Radiat Med,1995,13(3):133-136.
    [6] KIM DG,PARK SY,KIM H,et al. A comprehensive karyotypic analysis on a newly established sarcomatoid hepatocellular carcinoma cell line SH-J1 by comparative genomic hybridization and chromosome painting[J]. Cancer Genet Cytogenet,2002,132(2):120-124.
    [7] SCHNEIDER G,MASSMANN A,FRIES P,et al. MRI of sarcomatoid carcinoma of the liver[J]. Euro J Radiol Extra,2005,54(2):63-67.
    [8] LAO XM,CHEN DY,ZHANG YQ,et al. Primary carcinosarcoma of the liver:Clinicopathologic features of 5 cases and a review of the literature[J]. Am J Surg Pathol,2007,31(6):817-826.
    [9] XIANG D,LIU G,XIONG ZF,et al. Analysis on causes of hepatic angiosarcoma misdiagnosed as hepatic adenoma and literature review[J/CD]. Chin J Hepat Surg(Electronic Edition),2018,7(1):61-65.(in Chinese)项灯,刘刚,熊振芳,等.肝血管肉瘤误诊为肝腺瘤的原因分析并文献复习[J/CD].中华肝脏外科手术学电子杂志,2018,7(1):61-65.
    [10] LIN HY. Leukemoid reaction in malignant tumor(a report of 23cases)[J]. Clin Misdiagn Misther,2008,21(7):32-33.(in Chinese)林梅英.恶性肿瘤出现类白血病反应23例临床报告[J].临床误诊误治,2008,21(7):32-33.
    [11] PAN HX,WANG TS,WANG J,et al. Death due to liver abscess and leukemoid reaction after surgery for gallbladder sarcomatoid carcinoma:A case report[J]. J Hebei North Univ(Natural Science Edition),2018,34(10):40-41,44.(in Chinese)潘虹霞,王铁山,王金,等.胆囊肉瘤样癌术后并发肝脓肿及类白血病反应死亡1例[J].河北北方学院学报(自然科学版),2018,34(10):40-41,44.
    [12] POGGIO JL,NAGORNEY DM,NASCIMENTO AG,et al. Surgical treatment of adult primary hepatic sarcoma[J]. Br J Surg,2000,87(11):1500-1505.
    [13] ZENG YC,DAI CL,ZHAO Y,et al. A case of sarcomatoid combined hepatocellular-cholangiocarcinoma[J]. J Clin Hepatol,2019,35(6):1340-1341.(in Chinese)曾勇超,戴朝六,赵阳,等.混合型肝癌伴肉瘤样变1例报告[J].临床肝胆病杂志,2019,35(6):1340-1341.
    [14] LLOVET J M,MONTAL R,SIA D,et al. Molecular therapies and precision medicine for hepatocellular carcinoma[J]. Nat Rev Clin Oncol,2018,15(10):599-616.
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  • 出版日期:  2020-02-20
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