摘要
Hepatocellular carcinoma is a highly malignant neoplasm and frequently involves extrahepatic organs but decidedly rarely occurs in brain. We describe 3 cases of brain metastases in patients suffering from post-HBV hepatocarcinoma. The ＂stroke-like＂ presentation of the cerebral localization of the disease can be explained by both the important vascularization of the tumor and the frequent hemocoagulative alterations caused by the cirrhosis. The importance of diagnostic neuroradiology is briefly addressed, with reference to the fundamental role played by MRI. Surgery of these lesions does not present any particular technical problems as long as they are located in accessible areas and the patient＇s general and neurological conditions allow it. Postoperative radiotherapy seems to improve the quality and quantity of residual life, although the number of patients described in the literature was too small to draw any definite conclusion in this regard.
Hepatocellular 癌是一个高度恶意的瘤并且经常包含 extrahepatic 机关，但是很少坚决地发生在大脑。我们在受不了 post-HBV hepatocarcinoma 的病人描述大脑转移的 3 个案例。疾病的服的本地化的像击的演讲能被两个解释肿瘤和肝硬化引起的经常的 hemocoagulative 改变的重要 vascularization。诊断 neuroradiology 的重要性简短被探讨，与 MRI 起的基本作用的参考。只要他们位于可存取的区域，病人的一般、神经病学的条件允许它，这些损害的外科不导致任何特别技术问题。手术后的放射疗法似乎改进剩余生活的质量和数量，尽管在文学描述的病人的数字太小，不能得出任何明确的结论在这方面。
