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肝上皮样血管平滑肌脂肪瘤是一种罕见但潜在严重却可治疗的肿瘤:三例报告及文献复习

Hepatic epithelioid angiomyolipoma is a rare and potentially severe but treatable tumor: A report of three cases and review of the literature.

作者信息

Liu Wentao, Meng Zihui, Liu Hongyu, Li Wei, Wu Qiong, Zhang Xuewen, E Changyong

机构信息

Department of Hepatobiliary and Pancreatic Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin 130033, P.R. China.

Department of Pathology, China-Japan Union Hospital of Jilin University, Changchun, Jilin 130033, P.R. China.

出版信息

Oncol Lett. 2016 Jun;11(6):3669-3675. doi: 10.3892/ol.2016.4443. Epub 2016 Apr 15.

DOI:10.3892/ol.2016.4443
PMID:27313680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4888047/
Abstract

Hepatic epithelioid angiomyolipoma (EAML) is a rare type of hepatic tumor. Due to a lack of adequate understanding about this tumor, hepatic EAML is often misdiagnosed as other diseases with similar clinical characteristics such as hepatic cancer. In the present study, 3 cases of hepatic EAML are reported, and the main clinicopathological features of this disease are presented, based on a literature search that included articles published in English between February 2000 and September 2014. A total of 24 hepatic EAML cases were considered, of which, 17 were females and 4 presented multiple liver lesions. Among the patients with single lesions, 2 underwent surgery and relapsed after 5 months and 9 years, respectively. Immunohistochemical staining was positive for human melanoma black-45 in the present 3 cases. The aim of the present study was to focus the attention of clinicians on this type of hepatic tumor in order to improve its diagnosis and treatment.

摘要

肝上皮样血管平滑肌脂肪瘤(EAML)是一种罕见的肝脏肿瘤。由于对这种肿瘤缺乏足够的了解,肝EAML常被误诊为具有相似临床特征的其他疾病,如肝癌。在本研究中,报告了3例肝EAML病例,并根据对2000年2月至2014年9月间发表的英文文章的文献检索,介绍了该疾病的主要临床病理特征。共纳入24例肝EAML病例,其中女性17例,4例出现多发肝脏病变。在单发病变的患者中,2例接受了手术,分别在5个月和9年后复发。本研究中的3例病例免疫组织化学染色显示人黑素瘤黑色素-45呈阳性。本研究的目的是引起临床医生对这种肝脏肿瘤的关注,以改善其诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20f4/4888047/d9742b656f46/ol-11-06-3669-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20f4/4888047/899f0526f1dc/ol-11-06-3669-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20f4/4888047/441c8b94b38c/ol-11-06-3669-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20f4/4888047/d9742b656f46/ol-11-06-3669-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20f4/4888047/899f0526f1dc/ol-11-06-3669-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20f4/4888047/441c8b94b38c/ol-11-06-3669-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20f4/4888047/d9742b656f46/ol-11-06-3669-g02.jpg

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Histopathology. 2015 Apr;66(5):695-705. doi: 10.1111/his.12551. Epub 2015 Jan 20.
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