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服用避孕类固醇的女性中的肝脏肿瘤。

Liver tumors in women on contraceptive steroids.

作者信息

Christopherson W M, Mays E T, Barrows G H

出版信息

Obstet Gynecol. 1975 Aug;46(2):221-3.

PMID:168523
Abstract

The possible association between oral contraceptives and benign liver tumors has recently been reported. To date the majority of cases have been diagnosed as benign hepatomas (liver cell adenomas). We have had the opportunity to study 13 such cases. Eight have been examples of focal nodular hyperplasia of the liver; however, in addition, there were examples of hepatocellular carcinoma, liver cell adenoma, and possible liver cell hamartoma; all were in women on "the pill." Gynecologists are alerted to the fact that many of the patients present with symptoms of acute abdomen, syncope or shock, and intrahepatic or intraperitoneal bleeding. Prompt diagnosis and treatment may be lifesaving.

摘要

最近有报道称口服避孕药与良性肝肿瘤之间可能存在关联。迄今为止,大多数病例被诊断为良性肝癌(肝细胞腺瘤)。我们有机会研究了13例此类病例。其中8例为肝脏局灶性结节性增生;然而,此外还有肝细胞癌、肝细胞腺瘤以及可能的肝细胞错构瘤病例;所有病例均为服用“避孕药”的女性。妇科医生应注意到许多患者表现出急腹症、晕厥或休克症状,以及肝内或腹腔内出血。及时诊断和治疗可能挽救生命。

相似文献

1
Liver tumors in women on contraceptive steroids.服用避孕类固醇的女性中的肝脏肿瘤。
Obstet Gynecol. 1975 Aug;46(2):221-3.
2
Hepatic adenoma and focal nodular hyperplasia.肝腺瘤和局灶性结节性增生。
Surg Gynecol Obstet. 1991 Nov;173(5):426-31.
3
Relation of steroids to liver oncogenesis.类固醇与肝脏肿瘤发生的关系。
J Toxicol Environ Health. 1979 Mar-May;5(2-3):207-30. doi: 10.1080/15287397909529746.
4
Association of liver tumors with oral contraceptives.肝脏肿瘤与口服避孕药的关联。
Obstet Gynecol. 1976 Jul;48(1):49-55.
5
Focal nodular hyperplasia of the liver and hepatic cell adenoma in women on oral contraceptives.口服避孕药女性的肝脏局灶性结节性增生和肝细胞腺瘤
Hepatogastroenterology. 1980 Dec;27(6):435-40.
6
Hepatic tumors induced by sex steroids.性类固醇诱导的肝肿瘤。
Semin Liver Dis. 1984 May;4(2):147-57. doi: 10.1055/s-2008-1040654.
7
[Clinical, epidemiological, morphological and etiopathogenetic aspects of benign tumors of hepatocytic derivation, with description of a case of focal nodular hyperplasia].[肝细胞源性良性肿瘤的临床、流行病学、形态学及病因发病学方面,并附一例局灶性结节性增生病例描述]
Arch De Vecchi Anat Patol. 1981 Dec;64(3):547-68.
8
Benign liver tumors: what is their relationship to oral contraceptives?良性肝脏肿瘤:它们与口服避孕药有什么关系?
Am Surg. 1976 Oct;42(10):744-60.
9
Fibrolamellar hepatocellular carcinoma arising in a background of focal nodular hyperplasia: a report of 2 cases.在局灶性结节性增生背景下发生的纤维板层型肝细胞癌:2例报告
J Reprod Med. 2005 Aug;50(8):633-7.
10
[A rare form of benign tumor of the liver possibly related to the use of oral contraceptives: focal pediculated nodular hyperplasia].[一种可能与口服避孕药使用有关的罕见肝脏良性肿瘤:局灶性带蒂结节性增生]
Rev Fr Gynecol Obstet. 1985 Aug-Sep;80(8-9):621-7.

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World J Hepatol. 2023 May 27;15(5):707-714. doi: 10.4254/wjh.v15.i5.707.
2
Addition of proteinase K during the culture alter the physiology of Bacillus thuringiensis culture and the cry1Ac, nprX, nprA, and spo0A gene transcription.在培养过程中添加蛋白酶 K 会改变苏云金芽孢杆菌培养物的生理学特性以及 cry1Ac、nprX、nprA 和 spo0A 基因的转录。
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3
Development of hepatocellular carcinoma associated with anabolic androgenic steroid abuse in a young bodybuilder: a case report.
一名年轻健美运动员滥用合成代谢雄激素类固醇后发生肝细胞癌:病例报告
Case Rep Pathol. 2012;2012:195607. doi: 10.1155/2012/195607. Epub 2012 Jul 5.
4
Liver disease.肝脏疾病
Postgrad Med J. 1994 Mar;70(821):162-84. doi: 10.1136/pgmj.70.821.162.
5
Regenerating rat liver: correlations between estrogen receptor localization and deoxyribonucleic acid synthesis.再生大鼠肝脏:雌激素受体定位与脱氧核糖核酸合成之间的相关性
Gastroenterology. 1984 Mar;86(3):552-7.
6
Human liver tumors in relation to steroidal usage.与甾体类药物使用相关的人类肝脏肿瘤
Environ Health Perspect. 1983 Apr;50:201-8. doi: 10.1289/ehp.8350201.
7
Estrogen binding protein activity in Morris hepatoma 7777 compared with normal rat liver.与正常大鼠肝脏相比,Morris肝癌7777中的雌激素结合蛋白活性。
Gastroenterology. 1984 Jun;86(6):1410-6.
8
Recurrent hepatic hemangiomas. Possible association with estrogen therapy.复发性肝血管瘤。可能与雌激素治疗有关。
Ann Surg. 1988 Feb;207(2):115-9. doi: 10.1097/00000658-198802000-00001.
9
Prospective controlled trial with antiestrogen drug tamoxifen in patients with unresectable hepatocellular carcinoma.对不可切除肝细胞癌患者使用抗雌激素药物他莫昔芬的前瞻性对照试验。
Dig Dis Sci. 1992 May;37(5):659-62. doi: 10.1007/BF01296419.
10
Liver tumours and the pill.肝脏肿瘤与避孕药
Br Med J. 1977 Aug 6;2(6083):345-6.