Gentile Nicole M, McKenzie Kyle M, Hurt Ryan T
Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
BMJ Case Rep. 2013 Jun 10;2013:bcr2013008886. doi: 10.1136/bcr-2013-008886.
An 80-year-old man with known metastatic hepatocellular carcinoma, not on current treatment, was presented with bleeding gingival and penile masses. Bleeding from both sites was able to be controlled with local treatment and subsequent discontinuation of his clopidogrel. The gingival mass was biopsied and was found consistent with metastatic hepatocellular carcinoma. Owing to the concern of recurrent bleeding, the penile mass was not biopsied. Given the significant progression of his disease, the patient was discharged to hospice care.
一名80岁男性,已知患有转移性肝细胞癌,目前未接受治疗,出现牙龈出血和阴茎肿物。通过局部治疗及随后停用氯吡格雷,两个部位的出血均得到控制。对牙龈肿物进行活检,结果发现与转移性肝细胞癌相符。由于担心再次出血,未对阴茎肿物进行活检。鉴于其病情显著进展,患者出院接受临终关怀。