伴有疼痛、发热及肝功能检查异常的肝脏巨大血管瘤。两例报告。
Giant hemangioma of the liver with pain, fever, and abnormal liver tests. Report of two cases.
作者信息
Pateron D, Babany G, Belghiti J, Hadengue A, Menu Y, Flejou J F, Erlinger S, Benhamou J P
机构信息
Service d'Hépatologie, Unité de Recherches de Physiopathologie Hépatique (INSERM U-24), Hôpital Beaujon, Clichy, France.
出版信息
Dig Dis Sci. 1991 Apr;36(4):524-7. doi: 10.1007/BF01298887.
In conclusion, we report the cases of two patients with large hemangiomas of the liver, abdominal pain, increased ESR and fibrinogen, increased serum alkaline phosphatase and gamma-glutamyltransferase activity, and normal white blood cell counts. Clinical and biochemical abnormalities disappeared after surgical resection. Increased ESR and fibrinogen are probably related to thrombosis within the tumor. This mode of presentation may suggest a diagnosis of hepatocellular carcinoma.
总之，我们报告了两例患有巨大肝血管瘤的患者，他们伴有腹痛、血沉（ESR）和纤维蛋白原升高、血清碱性磷酸酶和γ-谷氨酰转移酶活性增加，而白细胞计数正常。手术切除后，临床和生化异常消失。血沉和纤维蛋白原升高可能与肿瘤内血栓形成有关。这种表现方式可能提示肝细胞癌的诊断。
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