Mzoughi Zeineb, Slama Sana Ben, Bacha Dhouha, Romdhane Haifa, Bayar Rached, Sassi Asma, Lahmar Ahlem
Service de Chirurgie Viscérale, Hôpital Militaire Slim La Marsa, Tunisie; Université de Tunis El Manar, Faculté de Medecine de Tunis, 1007, Tunis, Tunisie.
Université de Tunis El Manar, Faculté de Medecine de Tunis, 1007, Tunis, Tunisie; Service d'Anatomie Pathologique, Hôpital Militaire Slim La Marsa, Tunisie.
Pan Afr Med J. 2016 Nov 22;25:183. doi: 10.11604/pamj.2016.25.183.10970. eCollection 2016.
Nodular liver lesions mainly consist of tumors. Solitary necrotic nodule of the liver is rare. Preoperative diagnosis is difficult. We report the case of a 43-year old woman undergoing surgery for the treatment of a rectal adenocarcinoma metastatized to the liver. Abdominal CT scan showed liver nodule mimicking liver metastasis. The second case is that of a 56 year-old man undergoing cholecystectomy in whom a liver nodule was detected intraoperatively. In both cases, liver nodule was subcapsular and was resected. Anatomopathological examination allowed the diagnosis of solitary necrotic nodule of the liver. Nonspecific necrotic nodule of the liver should be suspected in liver lesions, even in neoplastic context. Characterization using imaging studies and puncture biopsy of liver lesions can be useful.
肝脏结节性病变主要由肿瘤组成。肝脏孤立性坏死结节罕见。术前诊断困难。我们报告了一例43岁女性因直肠腺癌肝转移接受手术治疗的病例。腹部CT扫描显示肝脏结节,疑似肝转移。第二例是一名56岁男性接受胆囊切除术,术中发现肝脏有一个结节。在这两例中,肝脏结节均位于包膜下并被切除。解剖病理学检查确诊为肝脏孤立性坏死结节。即使在肿瘤背景下,肝脏病变也应怀疑为非特异性坏死结节。利用影像学检查和肝脏病变穿刺活检进行特征性诊断可能有用。