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肝细胞腺瘤的诊断和治疗 被引量:9

Diagnosis and treatment of hepatocellular adenoma
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摘要 目的 探讨肝细胞腺瘤的诊断及治疗。方法 对 4例肝细胞腺瘤病例进行回顾性分析并作文献综述。结果 我院 1996~ 2 0 0 1年共收治 4例经病理证实的肝细胞腺瘤病人 ,发病率占同期肝切除病人的 0 13 % ,男∶女为 3∶1,平均年龄为 5 0岁。全部经手术治疗 ,术前确诊率为 75 %。结论 肝细胞腺瘤术前应联合行影像学检查以确诊 ,应首选手术治疗。 Objective To study the diagnosis and treatment of hepatocellular adenoma (HA). Methods The clinical data of 4 patients with HA treated in our hospital from 1996 to 2001 were retrospectively analyzed. Results Of the 4 HA patients (0.13%) found in 305 patients receiving hepatectomy, 3 were male and 1 female. The average age was 50 years. Operation was performed in all the 4 patients. Amongst these 4 patients, HA was diagnosed in before operation in 3 (75%). Conclusions Definite diagnosis of HA should be made using combined imaging examinations. Operation is of the first choice for treatment of HA.
出处 《中华肝胆外科杂志》 CAS CSCD 2002年第12期721-722,共2页 Chinese Journal of Hepatobiliary Surgery
关键词 肝细胞腺瘤 诊断 治疗 良性肿瘤 影像学检查 Hepatocellular adenoma Diagnosis Treatment
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参考文献5

  • 1Kume N,Suga K,Nishigauchi K, et al. Characterization of hepatic adenoma with atypical appearance on CT and MRI by radionuclide imaging. Clin Nucl Med, 1997,22: 825-831.
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  • 3Eckhauser FE, Knol JA, Raper SE, et al. Enucleation combined with hepatic vascular exclusion is a safe and effective alternative to hepatic resection for liver cell adenoma. Am Surg, 1994, 60:466-471.
  • 4Tao LC. Oral-contraceptive-associated liver cell adenoma and hepatocellular carcinoma, cytomorphology and mechanism of malignant transformation. Cancer, 1991,68 : 341-347.
  • 5Mueller J, Keeffe EB, Esquivel CO. Liver transplantation for treatment of giant hepatocellular adenomas. Liver Transpl Surg,1995,1:99-102.

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