Magnetic Resonance Imaging Finding of Metastatic Hepatocellular Carcinoma in Ovary: A Case Report

난소에 전이된 간세포암의 자기공명영상 소견: 1예 보고

  • Kwak, Soon-Hyuk (Department of Radiology, Chungbuk National University Hospital) ;
  • Cho, Bum-Sang (Department of Radiology, Chungbuk National University Hospital) ;
  • Kang, Min-Ho (Department of Radiology, Chungbuk National University Hospital) ;
  • Lee, Seung-Young (Department of Radiology, Chungbuk National University Hospital) ;
  • Han, Gi-Seok (Department of Radiology, Chungbuk National University Hospital) ;
  • Cha, Sang-Hoon (Department of Radiology, Chungbuk National University Hospital) ;
  • Park, Kil-Sun (Department of Radiology, Chungbuk National University Hospital) ;
  • Kim, Sung-Jin (Department of Radiology, Chungbuk National University Hospital) ;
  • Choi, Song-Yi (Department of Pathology, Chungbuk National University Hospital)
  • 곽순혁 (충북대학교병원 영상의학과) ;
  • 조범상 (충북대학교병원 영상의학과) ;
  • 강민호 (충북대학교병원 영상의학과) ;
  • 이승영 (충북대학교병원 영상의학과) ;
  • 한기석 (충북대학교병원 영상의학과) ;
  • 차상훈 (충북대학교병원 영상의학과) ;
  • 박길선 (충북대학교병원 영상의학과) ;
  • 김성진 (충북대학교병원 영상의학과) ;
  • 최송이 (충북대학교병원 병리과)
  • Published : 2011.10.01

Abstract

Hepatocellular carcinoma is the most common primary malignant tumor of liver. Metastasis of hepatocellular carcinoma occurs in various organs, but metastasis to the ovary is extremely rare. We report MRI finding of metastatic hepatocellular carcinoma of the ovary in a 37-year-old woman who was treated hepatocellular carcinoma transarterial chemoembolization and radiofrequency ablation a year ago. Pelvic MRI revealed a mass in pelvic cavity with heterogeneous signal intensity and centripetal enhancement. Surgical excision and pathologic examination confirmed metastatic hepatocellular carcinoma in the ovary.

간세포암은 원발성 악성 간종양 중 가장 흔하며 종종 다른 장기로 전이된다. 난소로 전이되는 경우는 매우 드물며 다른 장기의 침범 없이 난소에 단독으로 발생하는 경우는 없었다. 저자들은 37세 여자환자에서 난소에 단독으로 전이된 간세포암의 자기공명영상 소견을 보고하고자 한다. 환자는 간세포암으로 1년 전 경간동맥 항암화학 색전술과 고주파 절제술을 받았으며, 골반자기공명영상에서 골반강내에 비균질한 신호강도와 구심성 조영증강을 보이는 종괴가 발견되었고 수술로 절제하여 난소에 전이된 간세포암으로 진단되었다.

Keywords

References

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