肝细胞腺瘤诊断治疗分析：附10例报告

Clinical analysis of hepatocellular adenoma： a report of 10 cases.

目的探讨肝细胞腺瘤的临床特点及诊断、治疗方法和预后。方法回顾性分析10例病理确诊的肝细胞腺瘤患者的临床资料。结果男6例，女4例。发病年龄25～7l岁，中位年龄42．6岁。无临床症状患者6例。腺瘤在肝左叶6例，右叶4例。10例均行超声检查。6例行CT检查。3例行MRI检查。1例行肝动脉造影。10例均手术完整切除，术后病理证实。随访5个月～9年均未见肿瘤复发。结论综合各项影像学检查有助于术前正确诊断。手术治疗是最有效方法，预后较好。

Objective To study the clinical feature,diagnosis, treatment and prognosis of hepatocellular adenoma （ HA ）. Methods The clinical data of 10 patients confirmed pathologically with HA, were retrospectively analyzed. Results There were four females and six males, aging from 25 to 71 years （ mean：42.6 years ）. Among these 10 patients ,6 cases were discovered to have no clinical symptom. Tmnors were located in the right lobe of the liver in 4 cases, and in the left lobe in 6 cases. Uhrasonography was performed in all cases. Six cases underwent CT examination and three cases experienced MRI as well as angiography was conducted in one case. All eases were confirmed by complete excision and pathology. All of them were followed up for 5 months to 9 years without tmnor recurrence. Conclusion The combination of imaging data is helpful in the diagnosis of HA. Surgery is the best treatment with satisfactory results, and its prognosis is fairly good.