Department of Radiology, St. Joseph's Hospital & Medical Center, Phoenix, Arizona, USA.
J Vasc Interv Radiol. 2010 Apr;21(4):582-5. doi: 10.1016/j.jvir.2009.12.385. Epub 2010 Feb 6.
The authors report a case of a 21-year-old woman taking oral contraceptives for severe dysmenorrhea who presented with a hepatic mass and worsening right upper quadrant pain. The oral contraceptives could not be discontinued because of her pelvic symptoms, necessitating treatment of the liver lesion for symptomatic relief. Computed tomography and percutaneous biopsy demonstrated the mass to be focal nodular hyperplasia. The patient opted for radiofrequency ablation rather than surgical enucleation for symptomatic relief. The ablation proved to be a safe and effective alternative to surgery to treat the benign tumor, and permitted more aggressive therapy of the dysmenorrhea.
作者报告了一例 21 岁女性因严重痛经服用口服避孕药，出现肝脏肿块和右上腹疼痛加重。由于盆腔症状，无法停止口服避孕药，因此需要治疗肝脏病变以缓解症状。计算机断层扫描和经皮活检显示肿块为局灶性结节性增生。患者选择射频消融而不是手术切除以缓解症状。消融术被证明是治疗良性肿瘤的一种安全有效的手术替代方法，并且允许更积极地治疗痛经。
