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肝癌肉瘤合并肝细胞癌1例报告

李日 郭怀斌 梁泽 李娜 温军业 张万星

李日, 郭怀斌, 梁泽, 等. 肝癌肉瘤合并肝细胞癌1例报告[J]. 临床肝胆病杂志, 2021, 37(9): 2180-2182. DOI: 10.3969/j.issn.1001-5256.2021.09.034
引用本文: 李日, 郭怀斌, 梁泽, 等. 肝癌肉瘤合并肝细胞癌1例报告[J]. 临床肝胆病杂志, 2021, 37(9): 2180-2182. DOI: 10.3969/j.issn.1001-5256.2021.09.034
LI R, GUO HB, LIANG Z, et al. Primary hepatic carcinosarcoma with hepatocellular carcinoma: A case report[J]. J Clin Hepatol, 2021, 37(9): 2180-2182. DOI: 10.3969/j.issn.1001-5256.2021.09.034
Citation: LI R, GUO HB, LIANG Z, et al. Primary hepatic carcinosarcoma with hepatocellular carcinoma: A case report[J]. J Clin Hepatol, 2021, 37(9): 2180-2182. DOI: 10.3969/j.issn.1001-5256.2021.09.034

肝癌肉瘤合并肝细胞癌1例报告

DOI: 10.3969/j.issn.1001-5256.2021.09.034
基金项目: 

河北省医学科学研究重点课题 20190382

详细信息
    通讯作者:

    张万星,zhangwx12@hotmail.com

  • 中图分类号: R735.7

Primary hepatic carcinosarcoma with hepatocellular carcinoma: A case report

Funds: 

Medical Scientific Research Key Project of Hebei Province 20190382

  • 图  1  患者影像学检查

    注:a,肝脏CT动脉期,箭头所示为肝S5段肿物呈结节状强化密度影;b,CT可见肝右后叶及被膜下类圆形低或稍高密度影,增强后未见强化;c,肝脏MRI,箭头所示为肝右后页可见大块坏死区,中心区域信号较周边信号稍高;d,肝右后叶MRI增强见周边略微强化影。

    图  2  患者术中切除肝脏标本

    注:a,肝右后叶+S5段切除标本,大小17 cm×12 cm×6 cm;b,肝右后叶切面见1个肿物(左箭头所示),大小7.0 cm×5.0 cm×4.5 cm,切面灰黄灰红局部质糟脆,另一肿物(右箭头所示)突出肝被膜,大小4.0 cm×4.0 cm×1.5 cm,切面灰白灰红实性质中;c,肝S5段肿物,大小1.5 cm×1.5 cm×1.0 cm,切面灰黄实性质中。

    图  3  病理免疫组化染色结果

    注:a,肝S5段肿物CK染色阳性(免疫组化染色,×40);b,肝右后叶HE染色,左侧箭头所指为梭形细胞肉瘤,右侧箭头所指为肝细胞癌(HE染色,×40);c,肝右后叶肿物Vimentin染色阳性(免疫组化染色,×100);d,肝右后叶肿物CK染色阳性(免疫组化染色,×100);e,肝右后叶肉瘤样癌细胞Vimentin染色阳性(免疫组化染色,×100);f,肝右后叶肉瘤样癌细胞CK表达阳性(免疫组化染色,×100)。

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    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. DOI: 10.3969/j.issn.1001-5256.2019.06.032.
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  • 收稿日期:  2021-01-12
  • 修回日期:  2021-03-15
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