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광범위한 간문맥전이와 세동전이로 인해 간손상이 초래된 위암 - 비전형적인 방사선학적 소견과 병리조직소견
안병민(Byung Min Ahn),이봉수(Bong Soo Lee),송하헌(Ha Hyn Song),이혜경(Hye Kyung Lee),박찬욱(Chan Wook Park),김현(Hyun Kim) 대한소화기학회 1997 대한소화기학회지 Vol.30 No.6
In contrast to the primary hepatocellular carcinoma, tumor thrombosis of the portal vein is rarely found in metastatic liver cancer which is frequently found in the patients with primary cancers of organs that has portal venous drainage. We recently experienced a case of hepatic metastasis of gastric carcinoma showing unusual radiological findings in a 67-year-old woman. She complained of abdominal bloating during the second phase of combined chemotherapy. Four months ago she had received pylorus preserving gastrectomy for advanced gastric cancer. The liver CT showed raiher well marginated, geographic low attenuations distrubuted along periphery of liver and thrombosis of the main portal vein. After infusion of contrast media, the major part of peripheral low attenuation became isodense to the central portion of liver. Ultrasound guided multifocal biopses revealed massive portal venous tumor thrombosis and trans-sinusoidal metastasis of gastric carcinoma which was more severe in the areas of peripheral low echogenicity where hepatic necrosis and fibrosis were observed. In conclusion, geographic attenuation difference in the liver on cross sectional images can be induced by massive portal venous thrombosis and following hepatic injury in liver metastasis from gastric carcinoma. (Korean J Gastroenterol 1997; 30:831-836)