查詢結果分析
來源資料
相關文獻
- Hepatic Adenoma: A Case Report
- Hemorrhagic Gastric Glomus Tumor Mimicks a Leiomyosarcoma on Both Transabdominal and Endoscopic Ultrasonography: Case Report
- Mesenteric Lymphangioma Causing Bowel Obstruction: Report of One Case
- 肝臟腺瘤
- 骨盆骨折病患合併腹部鈍傷之診斷
- Acute Emphysematous Cholecystitis
- Abdominal Ultrasonographic Features in Dengue Fever
- 慢性肝病腹部超音波檢查頻數之爭議
- 腹部超音波對阻塞性黃膽之診斷與治療
- 利用腹部超音波診斷新生兒肥厚性幽門狹窄症及其術後追蹤之探討
頁籤選單縮合
題 名 | Hepatic Adenoma: A Case Report=肝臟腺瘤:病例報告 |
---|---|
作 者 | 陳季宏; 黃裕庭; 黃仁杰; 辛政憲; 趙哲仁; 何士奇; 吳明哲; 英恭史; 柯端英; | 書刊名 | 澄清醫護管理雜誌 |
卷 期 | 1:3 民94.07 |
頁 次 | 頁44-47 |
分類號 | 415.536 |
關鍵詞 | 腹部超音波; 肝臟腺瘤; Abdominal ultrasonography; Hepatic adenoma; |
語 文 | 英文(English) |
中文摘要 | 我們報告一肝臟腺瘤病例發生在一29歲女性,長期使用口服避孕藥,臨床上 以無症狀但巨大肝腫瘤表現。過去並無B型肝炎或C型肝炎病史。腹部超音波, 肝臟磁振照影,及動脈血管攝影均顯示一巨大肝腫瘤,疑肝臟腺瘤。病人接受開 刀切除,術後病理檢查證實為肝臟腺瘤。病人術後恢復良好,目前正在門診追 蹤。回顧以往文獻,肝臟腺瘤以單發性為主,多發性表現較少,好發於女性且多 與避孕藥使用有關,另一方面,肝臟腺瘤很少發生在男性,且多與服用類固醇有 關。肝臟腺瘤惡性轉變的機率很低,但仍有文獻報告;肝臟腺瘤有時須與分化良 好的肝細胞癌作鑑別診斷。當巨大的肝臟腺瘤或合併破裂出血,臨床上無法與肝 細胞癌作鑑別診斷時,或臨床懷疑有惡性轉變時,應考慮手術切除。對於多發性 的肝臟腺瘤的治療方式可以考慮肝臟移植。 |
英文摘要 | We reporled a case of hepatic adenoma in a 29-year-old female patient who had history of chronic oral contraceptive use. She was told of a huge hepatic tumor during a health examina tion. There is no history of hepatitis 8, or hepap tic C, neither abdominal discomforl was noted. Abdominal ultrasonography, liver M.R.I. and angiography disclosed a huge hepatic tumor, susp. hepatic adenoma in left lobe of liver. Laparotomy with extended left lobectomy was performed smoothly. Pathology further con firmed the diagnosis of hepatic adenoma. Hepatic adenoma is a benign tumor and most commonly occurs in women aged 15-45 who chronically use oral contraceptives. It usually presents with solitary lesion and multiple hepat ic adenomas are much less common. Multiple hepatic adenomas are not always associated with oral contraceptive use. On the other hand, hepatic adenoma is rarely developed in men and usually related with the use of anabolic androgenic steroids. Malignant transformation is rare, but even reporled. Sometimes, it is difficult to differentiate from well-differentiated HCC. Surgery is necessary when there is a huge tumor associated with bleeding or to obtain a definite diagnosis. |
本系統中英文摘要資訊取自各篇刊載內容。