酷似肝细胞癌的肝脏孤立性坏死结节：一例报告
Solitary necrotic nodule of the liver mimicking hepatocellular carcinoma: a case report.
作者信息
Delis Spiros G, Kelgiorgi Dionysia A, Sofianidis Anastasios A, Triantopoulou Charikleia C, Papailiou Ioannis A, Dervenis Christos G
机构信息
Liver Surgical Unit, 1st Surgical Department, "Konstantopoulion" Hospital, Athens, Greece.
出版信息
Cases J. 2009 Jan 25;2(1):85. doi: 10.1186/1757-1626-2-85.
INTRODUCTION
Solitary necrotic nodule of the liver is a rare lesion, with similar radiologic findings to those of hepatic metastases or other liver masses.
CASE PRESENTATION
We here report a case of a 30-year-old male with hepatic solitary necrotic nodule discovered after an episode of acute abdominal pain and high grade fever. Routine laboratory data revealed leukocytosis and abnormal liver function. The imaging features of the lesion suggested malignancy or liver adenoma. The patient underwent surgical resection of segments V and VI. Histology was compatible with solitary necrotic nodule and localized vein thrombosis at the periphery.
CONCLUSION
Solitary necrotic nodule of the liver is a benign lesion which can mimic liver malignancies. Abdominal imaging and liver biopsy are often equivocal. In such circumstances liver resection is mandatory to exclude HCC or other malignant liver lesions.
引言
肝脏孤立性坏死结节是一种罕见病变，其放射学表现与肝转移瘤或其他肝脏肿物相似。
病例报告
我们在此报告一例30岁男性，在一次急性腹痛和高热发作后发现肝脏孤立性坏死结节。常规实验室检查数据显示白细胞增多和肝功能异常。该病变的影像学特征提示为恶性肿瘤或肝腺瘤。患者接受了Ⅴ段和Ⅵ段肝切除术。组织学检查结果符合孤立性坏死结节且周边有局限性静脉血栓形成。
结论
肝脏孤立性坏死结节是一种可酷似肝脏恶性肿瘤的良性病变。腹部影像学检查和肝脏活检结果往往不明确。在这种情况下，必须进行肝切除术以排除肝细胞癌或其他肝脏恶性病变。
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