Kharsa G, Degott C, Filoche B, Hedde J P, Potet F, Benhamou J P
Service d'Anatomie et de Cytologie Pathologiques, Hôpital Beaujon, Clichy.
Gastroenterol Clin Biol. 1990;14(1):84-9.
We report 2 cases of type I glycogen storage disease (Von Gierke's disease) discovered in 2 brothers at the age of 7 and 5 years, respectively. Both developed hepatic adenoma at the age of 19 and 17. Hepatocellular carcinoma occurred in the older brother the discovery of adenoma 4 years after. The frequency of these tumors in patients with type I glycogen storage disease raises problems concerning the treatment and modality of regular surveillance of the liver in these patients. The policy for the detection and treatment of these tumors, and particularly the indications for liver transplantation are discussed.
我们报告了2例I型糖原贮积病(冯·吉尔克病),分别在2名兄弟7岁和5岁时被发现。两人分别在19岁和17岁时患上肝腺瘤。哥哥在发现腺瘤4年后发生了肝细胞癌。I型糖原贮积病患者中这些肿瘤的发生率引发了关于这些患者肝脏常规监测的治疗和方式的问题。本文讨论了这些肿瘤的检测和治疗策略,特别是肝移植的指征。