Splenic Metastasis of Hepatocellular Carcinoma with Spleen Rupture
K Chin, YS Luk, J Khoo, YH Lui
Hong Kong J Radiol 2017;20:237-40
DOI: 10.12809/hkjr1716436
Splenic metastasis is uncommon, and splenic rupture secondary to metastasis of hepatocellular carcinoma
(HCC) is even rarer. We report on a 37-year-old man who underwent an emergency splenectomy for splenic
rupture secondary to metastasis of HCC. Differentiation between pathological and idiopathic atraumatic
splenic rupture is important. In patients with splenic rupture without evidence of trauma, underlying splenic
abnormality should be suspected. Splenic lesions may be obscured on initial imaging during an acute setting.
Authors’ affiliations:
K Chin, YS Luk, J Khoo: Department of Radiology, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong
YH Lui: Department of Pathology, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong
中文摘要
肝細胞癌脾臟轉移與脾破裂
錢凱、陸嬈、邱麗珊、呂潤開
脾臟轉移癌不常見，肝細胞癌脾臟轉移導致脾破裂更為罕見。本文報告一名37歲男子接受緊急脾切除術治療由肝細胞癌轉移導致脾破裂。區別病理性和特發性無創脾破裂很重要。在脾破裂患者無創傷跡象的情況下，應懷疑潛在的脾臟異常。在緊急情況的最初成像，脾臟腫瘤可能被遮蔽。