간세포 암종의 손가락으로의 전이: 증례 보고 및 문헌 고찰

Metastatic Hepatocellular Carcinoma to the Distal Phalanx: a Case Report and Review of Literature

  • Park, Joo-Hyun (Healthcare Center, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Lee, Jung-Kwon (Department of Family Medicine, Palliative Care Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jung, Da-Eun (Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Ahn, Soo-Min (Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Kyung-Min (Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Bo-Kyoung (Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2012.03.15
  • 심사 : 2012.05.04
  • 발행 : 2012.06.01

초록

손으로의 전이성 암은 드문 질환으로 환자를 진료함에 있어 간과되기 쉽다. 간세포성 암종 환자에서 손으로의 전이는 지금까지 전세계적으로 5예가 보고되고 있으며, 이 논문에서는 간세포성 암종의 우측 4번째 손가락으로의 전이를 보고하고자 한다. 환자는 통증과 부종을 호소하였으며 보존적 치료에도 증상이 점차 악화되어 절단 수술을 받고 증상이 호전되었다. 이 보고는 진료의사들이 암환자의 손에 병변이 관찰될 때 전이성 암의 가능성을 염두에 두고 접근하여 증상 조절을 해야 한다는 것을 시사한다.

Metastatic tumors to the hand are rare and often overlooked by clinicians. Here, we report a rare case of phalangeal metastasis of right 4th finger in a patient with hepatocellular carcinoma. Treatment was given with right 4th finger disarticulation. This report suggests that physicians must take consideration into the possibility of metastatic tumors in patients with bone lesions on hands and a history of malignancy.

키워드

참고문헌

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