[病程中伴有出血和坏死的毛细血管扩张性局灶性结节性增生：1例报告]

[Telangiectatic focal nodular hyperplasia accompanied with hemorrhage and necrosis during the course: report of a case].

作者信息

Machida Takuro, Hirayama Michiaki, Horita Shoichi, Hagiwara Seiya, Ikari Shuji, Kato Takashi, Sasaki Kiyotaka, Kurose Tatsuhiko, Nakamura Hideaki, Kagaya Hidetoshi, Meguro Takashi, Abe Motoki, Yamaguchi Koji, Fujita Miyoshi, Morita Takayuki, Takahashi Toshiyuki

机构信息

Department of Internal Medicine, Hokkaido Gastroenterology Hospital.

出版信息

Nihon Shokakibyo Gakkai Zasshi. 2008 Jun;105(6):847-53.

PMID:18525192

Abstract

A tumor, which was 10 cm in diameter, was found in the lateral segment of the liver of a 42-year-old man in October, 2004. The lesion was clinically diagnosed as focal nodular hyperplasia (FNH). In March, 2006, the patient admitted our hospital complaining epigastralgia, back pain, and fever. Hemorrhage and necrotic region was revealed within the tumor, hence lateral segmentectomy was carried out. The lesion was pathologically diagnosed as a telangiectatic FNH (T-FNH). A possibility that hemorrhage or necrosis may be induced within a T-FNH during its progress should be taken into consideration.

摘要

2004年10月，在一名42岁男性患者的肝外侧段发现一个直径为10厘米的肿瘤。该病变临床诊断为局灶性结节性增生（FNH）。2006年3月，该患者因上腹部疼痛、背痛和发热入住我院。肿瘤内发现出血和坏死区域，因此进行了肝外侧段切除术。病理诊断为扩张型FNH（T-FNH）。应考虑到T-FNH在进展过程中可能诱发出血或坏死的可能性。