Gan to kagaku ryoho. Cancer & chemotherapy · 2009
[A case of glycogen storage disease type I with hepatocellular carcinoma].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Okuda Yukiko, Ota Hideo, Mikami Koji, Nagase Hirotsugu, Mukai Ryota, Okada Kazuyuki, Ide Yoshihito, Yanagisawa Tetsu, Maruyama Kentaro, Murata Kohei, Yokouchi Hideoki, Nagase Atsuhiko, Tamai Masamitsu, Kinuta Masakatsu
Аннотация
The patient was a 55-year-old female. In 1997, she was diagnosed as type-I glycogen storage disease (von Gierke disease). In March 2002, abdominal ultrasound tomography revealed an early enhanced lesion at liver S2, which suspected to a well differentiated hepatocellular carcinoma (HCC) with super-paramagnetic iron oxide (SPIO) enhanced magnetic resonance imaging (MRI). From 2002 to 2006, she received three times trans-arterial chemo-embolization (TACE) at enhanced lesions. But abdominal computer tomography (CT) revealed a 3.6 cm-in diameter early enhanced lesion near this tumor at S2, which was suspected to a diagnosis of recurrent HCC in December 2008. Therefore, she received a partial hepatectomy at S2. This resected specimen was diagnosed as poorly differentiated HCC. This patient is still alive with no recurrence after 6 months from operation. In conclusion, it might be effective for an early detection of recurrent HCC to see the doctor for a long regular checkup, because the growth of HCC with glycogen storage disease would be very slow.