摘要
目的探讨肝腺瘤的诊断和治疗方法。方法对5例肝腺瘤病人的临床资料进行分析。结果5例中除1例因肝腺瘤破裂出血有表现外，余4例均无临床表现，术前均误诊为肝癌和肝癌破裂出血。5例均行手术治疗，并经病理证实。结论肝腺瘤多无临床表现，实验室检查多无异常，常规影像学表现特异性差，特异性肝脏MRI对比剂的应用可提高肝腺瘤的诊断率，手术切除是其主要的亦是首推的治疗方式，选择性肝动脉栓塞治疗亦可用于部分病人。
Objective To explore the diagnosis and treatment of hepatocellular adenoma. Methods The clinical records of 5 patients with hepatocellular adenoma were retrospectively analyzed. Resuits One patient represented acute abdominal pain because of tumor rupture into peritoneal cavity, and the rest 4 patients had no manifestaion. All the 5 patients were misdiagnosed to hepatocellular cancer before surgery and confirmed pathologically. Conclusion Most cases of hepatoeellular adenoma have no typical clinical manifestation and the laboratory tests are always normal. The routine imaging examinations show a low specificity. MRI with hepatobiliary-speeific contrast agents can improve diagnostic rate. Surgical resection is the mainstay and recommended treatment of hepatoeellular adenoma, and other methods such as TAE can be taken into consideration as well to some patients.
出处
《腹部外科》
2012年第3期147-149,共3页
Journal of Abdominal Surgery
关键词
肝腺瘤
诊断
治疗
Hepatoeellular adenoma
Diagnosis
Treatment
