CAJ | 학술논문

目的探讨肝腺瘤的诊断、鉴别诊断及治疗方法和经验.方法对1990年1月至2008年11月我院收治并经病理证实的13例肝腺瘤的临床资料进行回顾性分析.结果 13例患者临床表现多无明显症状(9/13),其次为上腹不适(3/13).甲胎蛋白均为阴性.术前影像学检查确诊率约为10%.13例次行手术治疗(其中1例复发后又再次切除),1例未行手术,仅行介入治疗.1例术后11年复发.结论肝腺瘤临床表现多不典型,常规影像学方法确诊率较低.手术切除是肝腺瘤主要的治疗方法;肿腺瘤好发于Ⅳ、Ⅴ、Ⅷ段(64.3%),手术风险增加,应视病情考虑联合介入栓塞治疗;可以再次复发.
목적 탐토간선류적진단、감별진단급치료방법화경험.방법 대1990년1월지2008년11월아원수치병경병리증실적13례간선류적림상자료진행회고성분석.결과 13례환자림상표현다무명현증상(9/13),기차위상복불괄(3/13).갑태단백균위음성.술전영상학검사학진솔약위10%.13례차행수술치료(기중1례복발후우재차절제),1례미행수술,부행개입치료.1례술후11년복발.결론 간선류림상표현다불전형,상규영상학방법학진솔교저.수술절제시간선류주요적치료방법;종선류호발우Ⅳ、Ⅴ、Ⅷ단(64.3%),수술풍험증가,응시병정고필연합개입전새치료;가이재차복발.
Objective To explore the diagnosis,treatment and prognostic factors of hepatocellular adenoma.Methods Patients of hepatocellular adenoma in 13 cases confirmed pathologically were treated from January 1990 to November 2008.Corresponding clinical records were retrospectively analyzed.Results Of the thirteen patients,most patients present asymptomatic history(9/13),following the presence of right upper quadrant pain (3/13).Alpha fetoprotein (AFP) was negative in all the patients.Approximate one in ten cases were correctly diagnosed by imaging examinations preoperatively.Surgical treatment was performed in 13 patients with RO resection.One patient took TACE rather than operation for great volume of the mass.Recurrence was discovered in a patient after 11 years.Conclusions Most cases of hepatocellular adenoma have no typical clinical features and the positive result of diagnosis is relatively low by imaging examinations.The region of hepatocellular adenoma shows a propensity for the segment of Ⅳ、Ⅴ、Ⅷ(64.3%).Surgical resection is the mainstay of the treatment of liver sarcoma,other methods such as TACE or close observation can be taken into consideration as well.