Sivula A, Lempinen M
Ann Chir Gynaecol. 1976;65(1):46-51.
A 19-year-old woman with a large benign hepatocellular adenoma is presented. The initial symptom was continuous anaemia demanding transfusions twice a month. Coeliac angiography revealed the hepatic tumour, which was thought to be malignant. Angiography produced permanent paraplegia as a complication. The tumour was radically removed by an extended right lobectomy. The weight of the operation specimen was 2200 g. Histologically the differential diagnosis layed between benign hepatocellular adenoma and hepatocellular carcinoma. Postoperative stricture of the common duct developed as a complication of T-tube and was successfully treated at reoperation. Liver function became totally restored after the operation and after 5 years' follow-up there has been no tumour recurrence. The very rare benign hepatocellular adenomas are discussed.
本文报告了一名19岁患有巨大良性肝细胞腺瘤的女性患者。最初症状为持续性贫血，每月需输血两次。腹腔动脉造影显示肝脏肿瘤，当时认为是恶性的。血管造影术后出现永久性截瘫这一并发症。通过扩大右叶切除术将肿瘤彻底切除。手术标本重量为2200克。组织学上，鉴别诊断存在于良性肝细胞腺瘤和肝细胞癌之间。术后因T管并发症出现胆总管狭窄，再次手术成功治愈。术后肝功能完全恢复，经过5年随访，无肿瘤复发。文中对这种非常罕见的良性肝细胞腺瘤进行了讨论。
