Vermeulen Hestia G, Kooi Sjarlot, Lesterhuis Wilco
Albert Schweitzer Ziekenhuis, Afd. Maag-, Darm- en Leverziekten, Dordrecht, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:B325.
Two months after a normal pregnancy, a 27-year-old woman presented with a focal liver lesion, which was first interpreted on CT as 'multiple liver cell adenomas'. 2 months later, it turned out to be a metastasis of a choriocarcinoma. This rare neoplasm will often be omitted from the differential diagnosis of liver lesions found during or after pregnancy. However, it is important not to miss this diagnosis since choriocarcinoma metastasis can be successfully treated. Therefore, it is advisable when focal liver lesions are found in women of child-bearing age also to measure human chorionic gonadotropin (hCG) serum concentration.
一名27岁女性在正常妊娠两个月后出现肝脏局灶性病变,CT最初将其诊断为“多发性肝细胞腺瘤”。两个月后,结果显示为绒毛膜癌转移。这种罕见的肿瘤在妊娠期间或之后发现的肝脏病变鉴别诊断中常常被遗漏。然而,重要的是不要漏诊,因为绒毛膜癌转移可以得到成功治疗。因此,当在育龄妇女中发现肝脏局灶性病变时,建议检测血清人绒毛膜促性腺激素(hCG)浓度。