| A case of hepatocellular carcinoma with metastasis to thalamus confirmed by biopsy |
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Kyung Ho Song, Jun Yong Park, Keun-Ho Lee, Ki Tae Yoon, Tai Seung Kim, Dong Seok Kim, Kwang Hyub Han |
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경희대학교 의과대학 순환기내과학교실 |
| 증례 : 생검으로 진단된 간세포암의 시상 전이 |
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송경호&#;박준용&#;이근호&#;윤기태&#;김태승&#;김동석&#;한광협, Jun Yong Park, Keun-Ho Lee, Ki Tae Yoon, Tai Seung Kim, Dong Seok Kim, Kwang Hyub Han |
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| Abstract |
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The presence of extrahepatic metastasis is a critical factor when planning for hepatocellular carcinoma (HCC)
treatment. As longer patient survival with HCC have been achieved, the number of patients with secondary intracranial
metastases is likely to increase. A 57-year old man complained of gait disturbance and headache. He was diagnosed with
HCC of both lobes of the liver and had undergone one session of transcatheter arterial chemoembolization treatment.
Brain imaging revealed a hemorrhagic lesion at the right thalamus. To decompress the intracranial pressure and confirm
the etiology of intracranial hemorrhage, an endoscope was introduced into the third ventricle through the foramen of
Monro. The tumor was identified on floor of third ventricle, on the right side, and appeared to be hypervascular and hard
in consistency. Using the endoscope forceps, a biopsy was performed and an external ventricular drainage catheter was
inserted. The brain pathology confirmed metastatic HCC. This is the first report of a biopsy-proven metastasis of HCC
to thalamus.(Korean J Med 73:S880-S884, 2007) |
| Key Words:
Hepatocellular carcinoma, Thalamus, Biopsy |
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