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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/2325

 
Title :[症例報告]肝細胞癌を合併したBudd-Chiari症候群の一剖検例
Title alternative :An autopsy case of Budd-Chiari syndrome with hepatocellular carcinoma.
Authors :大湾, 朝二
照真名, 重順
親川, 富憲
佐久川, 廣
上原, 正照
嘉手納, 啓三
金城, 福則
小張, 一峰
戸田, 隆義
真栄城, 優夫
Authors alternative :Ohwan, Choji
Terukina, Shigeyoshi
Oyakawa, Tominori
Sakugawa, Hiroshi
Uehara, Masaaki
Kadena, Keizo
Kinjo, Fukunori
Kobari, Kazumine
Toda, Takayoshi
Maeshiro, Masao
Authors affiliation :琉球大学医学部第一内科
琉球大学医学部附属病院臨床検査部
沖縄県立中部病院外科
Issue Date :1987
Publisher :琉球大学医学部
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :0289-1530
Abstract :A 65 years old female was admitted to our hospital in October 1985 because of right hypochondralgia. Her medical history revealed that she had undergone an operation for Budd-Chiari syndrome in 1976. A diagnosis of hepatocellular carcinoma was made in April 1984. However, neither a surgical operation nor chemotherapy was carried out due to marked deterioration of liver function. At our hospital, ultrasonography showed a large tumor measuring 10.2×10.9cm in the right hepatic lobe. A marked elevation of $ \alpha $-fetoprotein (155,920 ng/ml) was also detected by serologic examination. She died of respiratory and renal failure in April 1986. Post mortal examination demonstrated the presence of membranous stenosis of the inferior vena cava and hepatocellular carcinoma based on liver cirrhosis. The long survival of this patient from the time of detection of hepatocellular carcinoma was ascribed to Grade II hepatocellular carcinoma of Edmondson's classification. The pathogenesis of hepatocellular carcinoma in Budd-Chiari syndrome was briefly discussed with relation to the present case.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/2325
Citation :琉球大学医学会雑誌 : 医学部紀要 = Ryukyu medical journal Vol.10 no.1 p.63 -72
Appears in Collections:Ryukyu medical journal

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