查詢結果分析
來源資料
頁籤選單縮合
題 名 | Hypovascular Focal Nodular Hyperplasia of the Liver: Report of a Case=低血管性肝臟局部結節性增生:一病例報告 |
---|---|
作 者 | 鄭慧雲; 王蒼恩; 林錫泉; 施壽全; 楊圳隆; 楊斐適; 張國明; | 書刊名 | 中華民國消化系醫學雜誌 |
卷 期 | 17:4 2000.12[民89.12] |
頁 次 | 頁31-38 |
分類號 | 416.246 |
關鍵詞 | 肝臟局部結節性增生; 肝動脈血管攝影; Focal nodular hyperplasia; Hepatic angiography; |
語 文 | 英文(English) |
中文摘要 | 肝臟之局部結節性增生是一種少見之肝腫瘤,好發於在生殖年齡的女性。大部份 的病人是無症狀且通常是無意中發現,因為不會有惡性變化通常僅需觀察毋需切除,所以正 確的診斷是很重要的。其在肝動脈血管攝影常顯示高血管性結節且有中央船舵輪柄的動脈分 佈特徵。我們報告並討論一個低血管性結節案例,一位 37 歲的健康女性因在體檢時發現血 清鹼性燐酸�t增高而前來腸胃科門診就診,結果腹部超音波及電腦斷層攝影發現在肝臟左葉 有大概 5 公分大小的等超音波性及低密度性的腫瘤, 其肝動脈血管攝影顯示為低血管性的 結節,肝臟穿刺病理切片上有特徵的疤痕組織且含小血管及小膽管。最後診斷為肝臟局部結 節性增生 (focal nodular hyperplasia, FNH) 所以接受保守治療且定期追蹤檢查,但因病 人常常在餐後感覺上腹部不適, 在第一次診斷 2 個半月後接受手術治療,在病理上發現有 細小且短的纖維中隔及放射狀細帶,術後過程很順利,我們討論 FNH 的診斷及治療。 |
英文摘要 | Focal nodular hyperplasia (FNH) is a benign tumor of the liver that occurs predominantly in women of reproductive age. It is usually discovered incidentally, and most patients are asymptomatic. Definitive diagnosis is important because it can be treated conservatively and has no malignant potential. On hepatic angiography, it usually appears as a hypervascular lesion with a characteristic central spoke-wheel pattern of arterial distribution. We report a case of hypovascular FNH in a 37-year-old woman presenting with impaired liver function (increased alkaline phosphatase) discovered incidentally during a routine medical check-up. Abdominal ultrasound revealed an isoechogenic mass in the left lobe of the liver. Computerized tomography showed a large homogenous hypodense mass in the lateral segment of the left lobe of the liver. Hepatic angiography revealed a hypovascular filling defect in the left lobe. Echo-guided needle biopsy yielded hepatic tissue showing a fibrous scar containing small vessels and biliary ductules. The diagnostic impression was FNH, and the patient was treated conservatively. However due to persistent epigastric discomfort, especially after meals, left hepatectomy was performed 2 months after the first diagnosis. Pathology revealed fine. short fibrous septa with some radiating bands. The postoperative course was uneventful. We discuss the diagnostic approach and clinical managemtn of focal nodular hyperplasia. |
本系統中英文摘要資訊取自各篇刊載內容。