Kawamoto H, Yamanoue M, Inoue F, Shimizu S, Yamane S, Shigeta N, Tsuchiya T, Yamamoto M, Takemoto K
Dept. of Medicine, Tsuchiya General Hospital.
Gan No Rinsho. 1990 Jun;36(7):837-41.
A 37-year-old male was admitted to hospital for jaundice and ascites. An ultrasonogram revealed a hypoechoic mass located in the right anterior inferior segment. A needle specimen of the liver was taken, and its biopsy led to a histological diagnosis of a hepatocellular carcinoma. The patient subsequently underwent an operation wherein it was found that the resected tumor that was taken was not clearly demarcated from the cirrhotic parenchyma. The histological diagnosis was an adenomatous hyperplasia. In a portion of this adenomatous hyperplasia, highly consistent hepatic cells and pseudogland formations were seen, confirming the diagnosis of a well-differentiated hepatocellular carcinoma within an adenomatous hyperplasia.
一名37岁男性因黄疸和腹水入院。超声检查显示右前下段有一个低回声肿块。采集了肝脏穿刺标本，活检结果为肝细胞癌的组织学诊断。患者随后接受了手术，术中发现切除的肿瘤与肝硬化实质分界不清。组织学诊断为腺瘤样增生。在该腺瘤样增生的一部分中，可见高度一致的肝细胞和假腺泡形成，证实腺瘤样增生内存在高分化肝细胞癌。
