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left epigastric isolated tumor fed by the inferior phrenic artery diagnosed as ectopic hepatocellular carcinoma:A case report

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世界临床病例杂志 2023年第26期11卷 6231-6239页

作者： Hong-Bo Liu Li-Hua Zhao Yong-Jian Zhang Zhi-Feng Li Lei Li Qian-Peng Huang Department of General Surgery Handan Central HospitalHandan 056008Hebei ProvinceChina Department of Nursing Affiliated Hospital of Hebei University of EngineeringHandan 056002Hebei ProvinceChina Department of Gastroenterology Affiliated Hospital of Hebei University of EngineeringHandan 056002Hebei ProvinceChina Department of General Surgery Handan First HospitalHandan 056000Hebei ProvinceChina Department of General Surgery Affiliated Hospital of Hebei University of EngineeringHandan 056002Hebei ProvinceChina

BACKGROUND Hepatocellular carcinoma(HCC)is one of the most frequent cancers and the main cause of cancer-related death *** HCC,an extremely rare type of HCC,exhibits a wide range of clinical signs and radiographic features,making preoperative identification *** SUMMARY A 47-year-old man underwent routine abdominal color ultrasonography,which identified an asymptomatic tumor in the left upper *** patient had no history of hepatitis,did not drink alcohol,and had no family history of *** contrast-enhanced computed tomography(CT)revealed a heterogeneously enhanced lesion between the spleen and stomach that had invaded the diaphragm,with blood supplied by the left inferior phrenic *** patient underwent laparoscopic surgery,and HCC was identified by postoperative ***,specific immunohistochemical staining was performed to assess the molecular biological characteristics of the *** patient underwent two rounds of hepatic arterial interventional chemotherapy after *** plain and enhanced magnetic resonance imaging and lung CT 3 mo postoperatively revealed no signs of local recurrence or distant *** This asymptomatic ectopic HCC case described achieved an excellent result due to early detection,radical resection,and systematic surveillance.

关键词： Ectopic hepatocellular carcinoma left subphrenic tumor Isolated tumor Diaphragmatic involvement Inferior phrenic artery Case report

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