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胆囊上的异位肝组织:腹腔镜检查中偶然发现的肿物

Ectopic Liver Tissue on the Gallbladder: An Incidental Mass in Laparoscopy.

作者信息

Karaca Gökhan, Özden Hüseyin, Pehlivanlı Faruk, Pekcici M Recep, Yıldırım Yeşim

机构信息

Department of General Surgery, Kırıkkale University, Faculty of Medicine, Kırıkkale, Turkey.

Department of General Surgery, Alaca State Hospital, Alaca, Çorum, Turkey.

出版信息

Arch Iran Med. 2016 Jan;19(1):78-9.

Abstract

Ectopic liver is a rare developmental abnormality. It is often asymptomatic and could be determined during the surgery. AIthough it could be detected in different areas of the body either below or above of the diaphragm, ectopic liver is usually found on the wall of the gallbladder. The importance of the ectopic liver came from the elevated risk of development of hepatocellulary carcinoma from ectopic tissue. Ectopic liver tissue could also mimic malign masses in radiographic studies. Ultrasound-guided percutaneous biopsies could be helpful for preoperative diagnosis. Recently, widespread usage of laparoscopic techniques caused an increase on the description of ectopic liver tissues located on the gallbladder. Due to the potential risk of developing malignancy the resection of the mass should be the preferred approach for an incidentally or intraoperatively diagnosed ectopic liver tissue.

摘要

异位肝是一种罕见的发育异常。它通常无症状,可在手术中发现。尽管异位肝可在横膈膜上下身体的不同部位被检测到,但通常发现于胆囊壁上。异位肝的重要性在于异位组织发生肝细胞癌的风险增加。在影像学检查中,异位肝组织也可能类似恶性肿块。超声引导下经皮活检有助于术前诊断。近来,腹腔镜技术的广泛应用使得胆囊上异位肝组织的描述有所增加。鉴于发生恶性肿瘤的潜在风险,对于偶然发现或术中诊断的异位肝组织,切除肿块应是首选方法。

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