肝脏转移性鳞状细胞癌1例误诊分析.pdfVIP

中国当代医药 2016 年7 月第 23 卷第21 期 ·个案报道· 肝脏转移性鳞状细胞癌 1 例误诊分析 李雷1 王畅2 陈鸿春 1 陈飞1 1.云南省大理州人民医院普外三科，云南大理 671∞0;2.云南省大理州妇幼保健院手术麻醉科，云南大理 671αm I摘要]目的介绍 1 例肝脏转移性鳞状细胞癌的误诊过程以及相关经验教训。方法回顾性分析患者病史资料，术 前肿瘤抗原检查，影像学检查，以及术后病理结果得到明确诊断。结果分析发现肝脏转移性鳞状细胞癌和鳞状 细胞癌抗原(SCC-Ag)可能存在相关性，同时肝脏转移癌增强扫描病灶强化特点有其规律性o 结论对于临床少见 的肝脏转移性鳞状细胞癌应该引起足够重视，术前完善SCC-Ag 检查，MRI 平扫以及增强扫描，行胃镜，结肠镜 检查，同时多学科会诊明确原发病灶，可减少误诊、漏诊。 [关键词]肝肿瘤;转移性;鳞状细胞癌;误诊分析 [中图分类号] R735.7 [文献标tR码] A [文章编号] 1674-4721 (2016)07(c)-0161-03 The misdiagnosis analysis from 1 case of metastatic squ部nous cell carci- noma originated from liver Ll Lei 1 WANG Cha略2 CHEN Hong-chun 1 CHEN Feil l.the 3血 Department of General Surgery,Peoples Hospital in Dali prefecture of Yunnan Province,Dali 671以刃，China;2. Department of Anesthesia,Matemal and Child Health Care Hospital in Dali prefecture of Yunnan Province ,Dali 671α泪I，China [Abstract]Objective 咀is study introduced the process of misdiagnosis and share relevant experiencing in diagnosis and treatment from a case of metastatic squamous cell carcinoma originated from Iiver.Metbods ηlis case was diagnosed after the retrospective analysis of clinical medical records ,preoperative tumor antigen examination ,imaging examination, and postoperative pathological diagnosis result.Results By analyzing ,this study found that the correlations between the metastatic squamous cell carcinoma to the liver and squamous cell carcinoma antigen (SCCAg) .In addition ,the focis characters of lìver metastatic carcinoma from CT enhanced scan has its own regularity.Conctusion Due to the reason that metastatic squamous cell carcinoma originated from Iiver is IIJle in clinic ,so we should pay more attention to this di