イチキ　ヨシノブ   ICHIKI Yoshinobu   市来　嘉伸    所属   埼玉医科大学  医学部 国際医療センター　呼吸器外科    職種   専任講師
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読なし
表題	Mediastinal metastasis from a fibrolamellar hepatocellular carcinoma: Report of a case.
掲載誌名	正式名：Surgery today
巻・号・頁	40(4),360-4頁
著者・共著者	Yoshinobu Ichiki,Kenji Sugio,Tetsuro Baba,Makiko Mizukami,Takeshi Oga,Mitsuhiro Takenoyama,Takeshi Hanagiri,Koji Okamoto,Koji Yamaguchi,Satoshi Katagiri,Masakazu Yamamoto,Kosei Yasumoto
発行年月	2010/04
概要	Fibrolamellar hepatocellular carcinoma (FL-HCC) is an uncommon clinicopathological variant of hepatocellular carcinoma (HCC). The etiology of FL-HCC is unknown, but FL-HCC is not associated with hepatic viruses or alcohol. Hepatocellular carcinoma usually occurs in cases of chronic hepatitis or cirrhosis, whereas FL-HCC predominantly occurs in a normal liver and in younger adults. Fibrolamellar HCC shows relatively slow growth, and late recurrence is common. Repeated resections for recurrences should be considered not only because there is a lack of other effective treatment options but also because FL-HCC shows a relatively better prognosis after a resection in comparison to common HCC. This report presents a case of a rare mediastinal metastasis from FL-HCC in a patient who had undergone a previous resection for retroperitoneal metastasis after the initial hepatic operation. This is the second report of the same case. This patient also had a mediastinal neurogenic tumor, and these mediastinal tumors were concurrently resected.
DOI	10.1007/s00595-009-4035-4
PMID	20339991