Two closely neighboring hepatocellular carcinomas mimicking intrahepatic metastasis are confirmed as

来源 :中华医学杂志(英文版) | 被引量 : 0次 | 上传用户:seelo1332
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Hepatocellular carcinoma (HCC) is a common malignancy around the world.Among all HCCs,multifocal HCC accounts for 12%-19%.1 The origin of multifocal HCC can either be the intrahepatic metastasis of a single tumor clone,or independent primaries.2 It is crucial to distinguish intrahepatic metastatic tumor from multicentric HCC because this distinction has significant impact on tumor staging,treatment plan,and clinical outcome.Routine histological examination alone cannot determine the clonal origin of multifocal HCC and usually results in their arbitrary classification as satellite nodules.The only way to reliably determine clonality among multiple lesions is by molecular genetic analysis.We report a patient who underwent surgical resection for two neighboring hepatocellular carcinomas that were from independent primaries.These separate nodules mimicked a solitary primary with intrahepatic metastasis.Confirmation of separate clones was established by the loss of heterozygosity (LOH) of microsatellites.
其他文献
目的 解决已婚育龄妇女生殖道感染在护理中常见的健康教育问题.方法 对48例已婚育龄妇女生殖道感染患者常见的健康教育问题进行循征及护理干预.结果 应用循征护理解决已婚育
高血压病是最常见的心血管疾病,临床治疗药物较多。但实际治疗过程中却存在不少误区,致使不能达到预期治疗效果,有些甚至可能导致严重后果。本文结合常见的高血压用药误区,探讨如
Background Cartilage repair is a challenging research area because of the limited healing capacity of adult articular cartilage.We had previously developed a na
伴随着社会的发展,特别是进入21世纪以来,人们越来越关注身体健康,医药的发展生机勃勃,然而,越来越多的药物不良反应(adversedrugreaction,ADR)和药品不良事件见诸报端。所以,如何安全
Open inguinal lymphadenectomy is a necessary conventional management for the lower genitourinary malignancies,but the associated morbidity remains an issue for
采用等温差示扫描量热(DSC)和中断回扫法(动态DSC)以及绝热加速量热法(ARC),鉴别盐酸羟胺(HH)和N-甲基羟胺盐酸盐(NMHH)的热分解是否具有自催化分解特性,分析二者的热分解危
Iliac vein compression syndrome (IVCS),also known as May-Ther syndrome or Cockett syndrome,is caused by compression of the left common iliac vein between the ri
在2007年世界卫生组织的一项统计调查指出:全球的患者有1/5是死于不合理用药,而不是疾病本身。我国医院的不合理用药情况也相当严重,不合理用药占用药者的12%~32%。我国现有〈14周岁