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良性肝脏肿瘤与口服避孕药

Benign hepatic tumors and oral contraceptive pills.

作者信息

Kalra T M, Mangla J C, DePapp E W

出版信息

Am J Med. 1976 Dec;61(6):871-7. doi: 10.1016/0002-9343(76)90411-3.

DOI:10.1016/0002-9343(76)90411-3
PMID:188336
Abstract

In order to consider possible environmental factors related to the development of benign hepatic tumors, all reports of this disorder in the case records of five different hospitals in Rochester, New York, during the past 10 years were reviewed. Seven patients with benign hepatic tumors of the liver and two with peliosis hepatis were identified. Among the seven with a benign hepatic tumor, four were women currently receiving oral contraceptives; one had been receiving this medication in the past, and two had no history of exposure to any steroid whatsoever. The two patients with peliosis hepatis were receiving long-term androgenic anabolic steroids. Dilated, thin-walled vessels and vascular spaces were a more prominent feature of the tumor seen in four patients receiving oral contraceptive pills. It is emphasized in this report that benign hepatic tumors do occur in men and in patients with cirrhotic liver without the use of any kind of steroids.

摘要

为了探究与良性肝肿瘤发生相关的潜在环境因素,我们回顾了纽约罗切斯特市五家不同医院过去10年病例记录中所有关于该疾病的报告。共识别出7例肝良性肿瘤患者和2例肝紫癜患者。在7例肝良性肿瘤患者中,4例为正在服用口服避孕药的女性;1例曾服用过此药物,2例无任何类固醇接触史。2例肝紫癜患者正在接受长期雄激素类合成代谢类固醇治疗。在4例服用口服避孕药的患者所患肿瘤中,扩张的薄壁血管和血管间隙是更突出的特征。本报告强调,良性肝肿瘤确实会发生在男性以及未使用任何类固醇的肝硬化患者中。

相似文献

1
Benign hepatic tumors and oral contraceptive pills.良性肝脏肿瘤与口服避孕药
Am J Med. 1976 Dec;61(6):871-7. doi: 10.1016/0002-9343(76)90411-3.
2
[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.
3
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.
4
Hepatocellular carcinoma in a young woman with prolonged exposure to oral contraceptives.一名长期服用口服避孕药的年轻女性患肝细胞癌。
Med Pediatr Oncol. 1978;4(2):99-103. doi: 10.1002/mpo.2950040203.
5
Hepatic lesions caused by anabolic and contraceptive steroids.合成代谢类固醇和避孕类固醇引起的肝脏病变。
Semin Liver Dis. 1981 May;1(2):116-28. doi: 10.1055/s-2008-1040724.
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
Generalized peliosis hepatis and cirrhosis after long-term use of oral contraceptives.长期使用口服避孕药后出现的全身性肝紫癜和肝硬化。
Am J Gastroenterol. 1988 May;83(5):572-5.
8
Liver tumours.肝脏肿瘤
Baillieres Clin Gastroenterol. 1988 Apr;2(2):501-22. doi: 10.1016/0950-3528(88)90014-0.
9
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.
10
Hepatic neoplasms associated with contraceptive and anabolic steroids.与避孕药和合成代谢类固醇相关的肝脏肿瘤。
Recent Results Cancer Res. 1979;66:73-128. doi: 10.1007/978-3-642-81267-5_3.

引用本文的文献

1
Focal nodular hyperplasia of the liver: an unusual association with diabetes mellitus in a child and review of literature.肝脏局灶性结节性增生:儿童中一种与糖尿病不常见的关联,并文献复习。
Ital J Pediatr. 2010 May 26;36:41. doi: 10.1186/1824-7288-36-41.