Limongelli P, Pai M, Damrah O, Lauretta A, Atijosan O, Habib N, Jiao L R
Department of Surgical Oncology and Technology, Imperial College School of Medicine, Hammersmith Hospital Campus, London, United Kingdom.
Int Surg. 2009 Apr-Jun;94(2):136-40.
Intrahepatic cystic tumors are rare liver tumors whose diagnosis is based on a wide range of imaging modalities. Surgical management and prognosis are not clearly defined. The medical records of patients with a diagnosis of intrahepatic cystic tumor managed in our unit were reviewed. Two patients were successfully treated by surgery. One of these two patients had to undergo a second laparotomy to obtain complete removal of the tumor. Another patient developed tumor recurrence after an incomplete incision of the cystic lesion previously performed abroad. She was referred to our unit but was deemed unresectable and therefore was referred for a liver transplantation. We report 3 cases of hepatic cystic tumors, showing some difficult issues related to the diagnosis and management of this condition and underlining the importance of performing a complete surgical excision to avoid early recurrence of the tumor.
肝内囊性肿瘤是罕见的肝脏肿瘤，其诊断基于多种影像学检查方法。手术治疗及预后尚无明确定义。我们回顾了在本单位接受治疗的肝内囊性肿瘤患者的病历。两名患者通过手术成功治愈。这两名患者中有一名不得不接受二次剖腹手术以完全切除肿瘤。另一名患者此前在国外对囊性病变进行了不完全切除后出现肿瘤复发。她被转诊至我们单位，但被认为无法切除，因此被转诊接受肝移植。我们报告了3例肝囊性肿瘤病例，显示了与该疾病诊断和治疗相关的一些难题，并强调了进行完整手术切除以避免肿瘤早期复发的重要性。
