{"id":1864,"date":"2009-10-01T01:00:00","date_gmt":"2009-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/localisation-exceptionnelle-dun-carcinome-hepato-cellulaire-revelee-par-sciatalgie-et-masse-lombaire\/"},"modified":"2018-10-20T18:39:48","modified_gmt":"2018-10-20T16:39:48","slug":"localisation-exceptionnelle-dun-carcinome-hepato-cellulaire-revelee-par-sciatalgie-et-masse-lombaire","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/localisation-exceptionnelle-dun-carcinome-hepato-cellulaire-revelee-par-sciatalgie-et-masse-lombaire\/","title":{"rendered":"Localisation exceptionnelle d\u2019un carcinome h\u00e9pato-cellulaire, r\u00e9v\u00e9l\u00e9e par sciatalgie et masse lombaire"},"content":{"rendered":"<p><strong>2009<\/strong><\/p>\n<p><em>St\u00e9phanie Faure, Audrey Weber, Yann Le Bricquir, Mohamed Ramdani, E. Guzman, Olivier Duhamel. Service d\u2019H\u00e9pato Gastro Ent\u00e9rologie, Centre Hospitalier, F-34525 BEZIERS<\/em><\/p>\n<p><strong>H\u00e9patologie <\/strong>&#8211; \u00a02009-06-10 &#8211;\u00a0PW &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Mr H, 68 ans, est hospitalis\u00e9 le 12 Mars 2009 pour masse lombaire droite. En 2006, il a eu des chimioembolisations pour carcinome h\u00e9pato-cellulaire (CHC) multifocal sur une cirrhose alcoolique sevr\u00e9e (Child A, alphafoetoprot\u00e9ine (&#945;FP) \u00e0 26,9 ng\/ml). Les l\u00e9sions \u00e9taient stables \u00e0 la derni\u00e8re IRM de 2007.<br \/>\nEn octobre 2008, il a une sciatique droite S1, exacerb\u00e9e depuis f\u00e9vrier 2009. Cliniquement, une volumineuse tum\u00e9faction lombaire droite, d\u00e9forme la silhouette. L\u2019 &#945;FP est \u00e9lev\u00e9e \u00e0 560 ng\/ml. Un scanner en mars 2009 confirme les m\u00eames l\u00e9sions connues de CHC multifocal, et une volumineuse l\u00e9sion lombaire de 20 cm qui envahit les tissus mous aggrav\u00e9e par une lyse de l\u2019aile iliaque.<br \/>\nUne ponction-biopsie au lit du malade permet de conclure \u00e0 une morphologie et un ph\u00e9notype compatibles avec la localisation sous-cutan\u00e9e d\u2019un CHC moyennement diff\u00e9renci\u00e9.<br \/>\nUne radioth\u00e9rapie antalgique est d\u00e9livr\u00e9e en 10 fractions de 3 grays est d\u00e9livr\u00e9e avec un b\u00e9n\u00e9fice significatif mais sans diminution de taille de la masse. Une chimioth\u00e9rapie orale par Soraf\u00e9nib (Nexavar\u00a9), 800 par jour, a \u00e9t\u00e9 d\u00e9but\u00e9e et la tol\u00e9rance clinique est bonne. Le 30 avril 2009, l\u2019 &#945;FP a diminu\u00e9 \u00e0 465 ng\/ml.<br \/>\nA propos de cette observation nous \u00e9voquons les localisations rares des m\u00e9tastases du CHC.<\/p>\n<p>(l\u00e0 aussi nous voudrions rajouter une photo et une image de scanner.)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2009 St\u00e9phanie Faure, Audrey Weber, Yann Le Bricquir, Mohamed Ramdani, E. Guzman, Olivier Duhamel. Service d\u2019H\u00e9pato Gastro Ent\u00e9rologie, Centre Hospitalier, F-34525 BEZIERS H\u00e9patologie &#8211; \u00a02009-06-10 &#8211;\u00a0PW &#8211; ________________________________ Mr H, 68 ans, est hospitalis\u00e9 le 12 Mars 2009 pour masse lombaire droite. En 2006, il a eu des chimioembolisations pour carcinome h\u00e9pato-cellulaire (CHC) multifocal sur [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[20],"class_list":["post-1864","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-20"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Localisation exceptionnelle d\u2019un carcinome h\u00e9pato-cellulaire, r\u00e9v\u00e9l\u00e9e par sciatalgie et masse lombaire - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/localisation-exceptionnelle-dun-carcinome-hepato-cellulaire-revelee-par-sciatalgie-et-masse-lombaire\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Localisation exceptionnelle d\u2019un carcinome h\u00e9pato-cellulaire, r\u00e9v\u00e9l\u00e9e par sciatalgie et masse lombaire - 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