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伪装成源于胃部肿瘤的肝血管瘤。

Hepatic hemangioma masquerading as a tumor originating from the stomach.

作者信息

Zhang Xingmao, Zhou Zhixiang

机构信息

Department of Gastrointestinal Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, P.R. China.

出版信息

Oncol Lett. 2015 Mar;9(3):1406-1408. doi: 10.3892/ol.2015.2863. Epub 2015 Jan 12.

Abstract

Hemangioma is the most common benign hepatic neoplasm. The majority of cases are asymptomatic and can be confirmed by imaging examinations, including enhanced computed tomography and magnetic resonance imaging. Exophytic growth is not common and pedunculated cases are extremely rare. The present study reports a case that was pre-operatively misdiagnosed as a stomach-originating tumor. Laparoscopic exploration confirmed that this tumor was a hepatic hemangioma with a long peduncle originating from the left edge of the liver. The final diagnosis of cavernous hemangioma was confirmed by postoperative pathology. This indicates that hepatic hemangioma with a long peduncle has the possibility to be inaccurately diagnosed. Laparoscopic examination is required for such cases.

摘要

肝血管瘤是最常见的肝脏良性肿瘤。大多数病例无症状,可通过包括增强计算机断层扫描和磁共振成像在内的影像学检查确诊。外生性生长并不常见,带蒂病例极为罕见。本研究报告了一例术前被误诊为胃源性肿瘤的病例。腹腔镜探查证实该肿瘤是一个起源于肝左缘的带长蒂的肝血管瘤。术后病理证实为海绵状血管瘤的最终诊断。这表明带长蒂的肝血管瘤有可能被误诊。此类病例需要进行腹腔镜检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/494f/4315127/b189cd6dfc7a/OL-09-03-1406-g00.jpg

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