中国肿瘤临床
中國腫瘤臨床
중국종류림상
CHINESE JOURNAL OF CLINICAL ONCOLOGY
2013年
14期
859-861
,共3页
黄薇%黄芳%许隽颖%刘超英
黃薇%黃芳%許雋穎%劉超英
황미%황방%허준영%류초영
胃癌%囊性变%肝转移
胃癌%囊性變%肝轉移
위암%낭성변%간전이
gastric cancer%cystic degeneration%liver metastasis
胃癌根治术后肝囊性转移少见,缺乏特异性临床表现,目前尚无规范的治疗手段。2008年9月至2012年11月无锡市人民医院肿瘤科收治2例胃癌肝囊性转移病例,患者均为女性,年龄分别为66、65岁,术后病理均为溃疡型低分化腺癌,TNM分期均为ⅢB期(T4aN2M0),临床症状为腹胀和腹腔积液,囊液脱落细胞学检查均提示癌细胞浸润。2例患者分别行囊腔内局部化疗和全身静脉化疗,并取得一定的疗效。
胃癌根治術後肝囊性轉移少見,缺乏特異性臨床錶現,目前尚無規範的治療手段。2008年9月至2012年11月無錫市人民醫院腫瘤科收治2例胃癌肝囊性轉移病例,患者均為女性,年齡分彆為66、65歲,術後病理均為潰瘍型低分化腺癌,TNM分期均為ⅢB期(T4aN2M0),臨床癥狀為腹脹和腹腔積液,囊液脫落細胞學檢查均提示癌細胞浸潤。2例患者分彆行囊腔內跼部化療和全身靜脈化療,併取得一定的療效。
위암근치술후간낭성전이소견,결핍특이성림상표현,목전상무규범적치료수단。2008년9월지2012년11월무석시인민의원종류과수치2례위암간낭성전이병례,환자균위녀성,년령분별위66、65세,술후병리균위궤양형저분화선암,TNM분기균위ⅢB기(T4aN2M0),림상증상위복창화복강적액,낭액탈락세포학검사균제시암세포침윤。2례환자분별행낭강내국부화료화전신정맥화료,병취득일정적료효。
Cystic liver metastasis, which lacks specific clinical manifestations and standardized treatment, rarely occurs after radical gastrectomy. This study presented two gastric cancer cases with cystic liver metastasis treated in Wuxi People's Hospital from September 2008 to November 2012. The two female patients were 66 and 65 years old, respectively. Poorly differentiated ulcerated adenocarcinoma classified as stage III B [Tumor, Node, and Metastasis Classification (T4aN2M0)] and clinical manifestations of abdominal distension and ascites were detected in both patients. Cyst fluids were subjected to cytological analysis. Results confirmed the presence of liver metastasis of gastric cancer. The two patients benefited from local intracavitary chemotherapy or systemic intravenous chemotherapy.