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肝上皮样血管内皮瘤：术前诊断中的困境与挑战

Hepatic epithelioid hemangioendothelioma: Dilemma and challenges in the preoperative diagnosis.

作者信息

Hu Hai-Jie, Jin Yan-Wen, Jing Qiu-Yang, Shrestha Anuj, Cheng Nan-Sheng, Li Fu-Yu

机构信息

Hai-Jie Hu, Yan-Wen Jin, Anuj Shrestha, Nan-Sheng Cheng, Fu-Yu Li, Department of Biliary Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.

出版信息

World J Gastroenterol. 2016 Nov 7;22(41):9247-9250. doi: 10.3748/wjg.v22.i41.9247.

DOI:10.3748/wjg.v22.i41.9247
PMID:27895413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5107607/
Abstract

Hepatic epithelioid hemangioendothelioma (HEHE) is a rare category of vascular tumor with uncertain malignant potential. It commonly presents nonspecific and variable clinical manifestations, ranging from asymptomatic to hepatic failure. In addition, laboratory measurements and imaging features also lack specificity in the diagnosis of HEHE. The aim of the present study is to highlight the dilemma and challenges in the preoperative diagnosis of HEHE, and to enhance awareness of the range of hepatobiliary surgery available in patients with multiple hepatic nodular lesions on imaging. In these patients, HEHE should at least be considered in the differential diagnosis.

摘要

肝上皮样血管内皮瘤（HEHE）是一种罕见的血管肿瘤，其恶性潜能尚不确定。它通常表现出非特异性且多变的临床表现，从无症状到肝功能衰竭不等。此外，实验室检查和影像学特征在HEHE的诊断中也缺乏特异性。本研究的目的是强调HEHE术前诊断中的困境和挑战，并提高对影像学上有多个肝结节性病变患者可采用的肝胆手术范围的认识。在这些患者中，鉴别诊断时至少应考虑HEHE。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce5/5107607/0856f8c5f4b0/WJG-22-9247-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce5/5107607/b2bf0df63975/WJG-22-9247-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce5/5107607/5fcf75453061/WJG-22-9247-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce5/5107607/9d7585017416/WJG-22-9247-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce5/5107607/0856f8c5f4b0/WJG-22-9247-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce5/5107607/b2bf0df63975/WJG-22-9247-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce5/5107607/5fcf75453061/WJG-22-9247-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce5/5107607/9d7585017416/WJG-22-9247-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ce5/5107607/0856f8c5f4b0/WJG-22-9247-g004.jpg

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World J Gastroenterol. 2014 Aug 28;20(32):11333-9. doi: 10.3748/wjg.v20.i32.11333.
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Laparoscopic liver biopsy in the diagnosis of hepatic epithelioid hemangioendothelioma: A case report.
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Am J Transl Res. 2022 Feb 15;14(2):798-818. eCollection 2022.
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Clinical characteristics and CT features of hepatic epithelioid haemangioendothelioma and comparison with those of liver metastases.肝上皮样血管内皮瘤的临床特征及CT表现与肝转移瘤的比较
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