Kim Dong Hwan, Kim Seung Up, Nam Dong Hyuk, Choi Yoon Jung, Park Soo Mi, Lee Chon Kyun, Kim Do Young
Department of Internal Medicine, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.
Korean J Intern Med. 2009 Jun;24(2):147-52. doi: 10.3904/kjim.2009.24.2.147. Epub 2009 Jun 8.
Hepatocellular adenoma (HA) is a benign hepatic lesion that predominantly occurs in young women. Most hepatocellular carcinomas (HCC) arise in a cirrhotic liver during the fifth or sixth decades. There have been several reported cases of HCC developing from HA in female patients. However, there are rare cases about HCC arising in HA in a non-cirrhotic male patient. We have recently encountered a 53-year-old man who had a liver mass in a non-cirrhotic liver, and the liver mass was compatible with HA on the pre-operative computed tomography. The mass was completely resected and the histopathology revealed a focus of HCC arising in HA. We report here on this case along with a brief review of the relevant literature.
肝细胞腺瘤(HA)是一种主要发生于年轻女性的肝脏良性病变。大多数肝细胞癌(HCC)在五六十岁时发生于肝硬化肝脏。已有数例女性患者由HA发展为HCC的报道。然而,非肝硬化男性患者HA发生HCC的病例罕见。我们最近遇到一名53岁男性,其非肝硬化肝脏中有一个肝肿块,术前计算机断层扫描显示该肝肿块符合HA表现。肿块被完整切除,组织病理学检查显示HA中出现HCC灶。我们在此报告该病例并对相关文献作简要综述。