肝细胞腺瘤

Liver Cell Adenoma

本文报告4例经手术和病理证实的肝细胞腺瘤,2名为女性,无避孕药服用史。术前均诊断为肝脏恶性肿瘤。病损居于肝右叶,3例无特殊症状,1例上腹部扪及巨大包块,最大瘤重7kg。诊断上应与局灶性结节增生和高分化肝细胞癌相鉴别。因为本病有恶性变趋向,故主张行非规则性肝切除术。

Four patients with liver cell adenoma confirmed by operation and pathology are reported. Two of the patients were female, who had no history of taking oral contraceptives before. All patients were diagnosed as malignant hepatoma before operation. All tumors were located in the right lobe of the liver. Three patients had no symptoms, one had a large mass in the epigastrium. The biggest tumor weighed 7kg. The diagnosis of liver cell adenoma should be made with scrutiny and be dif- ferentiated from focal nodular hyperplasia and highly differentiated hepato-cellular carcinoma. Irregular hepatic resection is recommended for the treatment of this dis- ease,on account of possibility of malignant transformation.