尾骨多重骨转移作为肝细胞癌的第一个表现
Kongni Fokou Gervais Camille1, Orfanos Xenia Alexandra1
1CHU Brugmann, Brussels, Belgium.
Radiology case reports
|October 9, 2024
概括
肝细胞癌 (HCC) 很少表现为尾骨转移,没有已知的原发性肝损伤. 这一案例凸显了对高风险患者骨疼痛的积极调查的需要.
科学领域:
- 肝胆道癌症 肝胆道癌症
- 骨瘤学 骨瘤学
- 诊断成像诊断成像的使用
背景情况:
- 肝细胞癌 (HCC) 是全球癌症死亡的主要原因.
- 危险因素包括酒精性肝病,病毒性肝炎B/C和非酒精性脂肪性肝病.
- 西方国家的定期监测旨在防止HCC晚期检测.
研究的目的:
- 报告一种罕见的HCC病例,最初呈现出尾骨转移.
- 强调在患有HCC风险因素和无法解释的骨头疼痛的患者中进行彻底调查的重要性.
主要方法:
- 一个55岁的B型肝炎感染男性的病例介绍.
- 诊断成像包括X射线,计算机断层扫描 (CT) 和正子发射断层扫描 (PET) CT.
- 评估尾骨骨转移作为最初的表现.
主要成果:
- 患者出现了8个月的肘部和大腿疼痛.
- 图像检测显示了多个尾骨骨转移.
- 原发性肝脏HCC病变最初是未知的,这表明随访情况不佳.
结论:
- 尾骨转移作为HCC的第一个迹象是罕见的,但有可能发生.
- 积极的成像 (CT,MRI) 对患有HCC风险因素和骨疼痛的患者至关重要,即使没有确诊的初级肝损伤.
- 改善患者的随访和诊断警对于管理HCC是必要的.
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