Martí Vicente A, Zurita E, Sancho F J, Tomás A, Fábrega E, Enríquez J, Trías R
Escuela de Patología Digestiva, Departamento de Laparoscopia, Hospital de la Santa Creu i San Pau, Barcelona.
Rev Esp Enferm Dig. 1991 Oct;80(4):271-3.
We report the case of a male patient, 49 years of age, who was admitted to our hospital to clarify the diagnosis of a solid liver tumor of the left lobe of the liver which had been made by image methods (U.S., scan and scintigraphy). Laparoscopy showed an isolated tumor emerging from the left lobe of the liver featuring hypervascularity and umbilication at the top. A visual diagnosis of malignancy was made which was not confirmed neither by biopsy nor the cytological examination. Liver resection was undertaken, and a diagnosis of nodular hyperplasia was made by the pathologist. We have never encountered before this endoscopic appearance of focal nodular hyperplasia either in our own experience or in the search of the literature.
我们报告了一例49岁男性患者的病例，该患者因影像检查（超声、扫描和闪烁扫描）提示肝左叶实性肿瘤，为明确诊断而入住我院。腹腔镜检查显示，肝左叶有一个孤立的肿瘤，其特点是血管丰富且顶部有脐凹。初步诊断为恶性肿瘤，但活检和细胞学检查均未证实。遂进行了肝切除术，病理学家诊断为结节性增生。无论是根据我们自己的经验还是查阅文献，我们以前从未遇到过这种局灶性结节性增生的内镜表现。
