Delgado M A, Liu J Y, Meleg-Smith S
Tulane University School of Medicine, New Orleans, Louisiana, USA.
J La State Med Soc. 1999 Sep;151(9):474-8.
We describe the case of a male patient with biopsy-proven non-resectable liver adenoma at age 32 who presented 17 years later with hepatocellular carcinoma and nephrotic syndrome. Autopsy demonstrated systemic amyloidosis A. Review of the medical literature disclosed only three previous published cases of liver tumors associated with systemic amyloidosis. The association of non-hematologic neoplasias with systemic amyloidosis is rare and our literature review revealed only three cases of systemic amyloidosis in patients with liver tumors. We present here the case of a patient with apparent transition of liver adenoma to hepatocellular carcinoma with associated systemic amyloidosis.
我们描述了一名32岁经活检证实为不可切除肝腺瘤的男性患者的病例，该患者17年后出现肝细胞癌和肾病综合征。尸检显示为系统性淀粉样变A。医学文献回顾仅发现此前有3例已发表的肝肿瘤与系统性淀粉样变相关的病例。非血液系统肿瘤与系统性淀粉样变的关联罕见，我们的文献回顾仅发现3例肝肿瘤患者出现系统性淀粉样变。我们在此呈现一名肝腺瘤明显转变为肝细胞癌并伴有系统性淀粉样变患者的病例。
