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以缺铁性贫血为表现的旺盛型肝腺瘤病

Exuberant liver adenomatosis presenting with iron deficiency anemia.

作者信息

Mota Catarina, Carvalho Ana Margarida, Fonseca Válter, Silva Marisa Teixeira, Victorino Rui M M

机构信息

Clínica Universitária de Medicina II Centro Hospitalar Lisboa Norte Lisboa Portugal.

出版信息

Clin Case Rep. 2017 Mar 16;5(5):574-577. doi: 10.1002/ccr3.814. eCollection 2017 May.

DOI:10.1002/ccr3.814
PMID:28469852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5412824/
Abstract

Intratumoral or intraperitoneal hemorrhage is a recognized complication of liver adenomatosis. We report a case of multifocal massive liver adenomatosis presenting as chronic iron deficiency anemia. Clinicians' awareness about this atypical presentation not highlighted in the literature is important to allow timely diagnosis and surgical intervention to prevent fatal complications.

摘要

肿瘤内或腹腔内出血是肝腺瘤病公认的并发症。我们报告一例以慢性缺铁性贫血为表现的多灶性巨大肝腺瘤病病例。临床医生对这种文献中未重点提及的非典型表现有所认识，对于及时诊断和进行手术干预以预防致命并发症至关重要。

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1
Exuberant liver adenomatosis presenting with iron deficiency anemia.以缺铁性贫血为表现的旺盛型肝腺瘤病
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Hepatic adenomatosis: MR imaging features.肝腺瘤病：磁共振成像特征
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本文引用的文献

1
Hepatocyte Nuclear Factor 1α Mutation-associated MODY-3 and Familial Liver Adenomatosis.肝细胞核因子1α突变相关的青少年发病的成年型糖尿病3型及家族性肝腺瘤病
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[Hepatocyte nuclear factor 1α-inactivated hepatocellular adenomatosis in a patient with maturity-onset diabetes of the young type 3: case report and literature review].[1例青年型3型成年发病糖尿病患者中肝细胞核因子1α失活型肝细胞腺瘤病：病例报告及文献复习]
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肝细胞腺瘤的治疗：切除术、栓塞术与观察的比较。
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Inflammatory syndrome with liver adenomatosis: the beneficial effects of surgical management.伴有肝腺瘤病的炎症综合征：手术治疗的有益效果
Gut. 2007 Feb;56(2):307-9. doi: 10.1136/gut.2006.0106245.
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Hepatocellular adenoma: multiphasic CT and histopathologic findings in 25 patients.肝细胞腺瘤：25例患者的多期CT及组织病理学表现
Radiology. 2000 Mar;214(3):861-8. doi: 10.1148/radiology.214.3.r00mr28861.
8
Liver adenomatosis: reappraisal, diagnosis, and surgical management: eight new cases and review of the literature.肝腺瘤病：重新评估、诊断及手术治疗：8例新病例及文献复习
Ann Surg. 2000 Jan;231(1):74-81. doi: 10.1097/00000658-200001000-00011.
9
Management of liver adenomatosis: results with a conservative surgical approach.肝腺瘤病的管理：保守手术方法的结果
Liver Transpl Surg. 1998 Sep;4(5):388-98. doi: 10.1002/lt.500040505.
10
[Association of hepatic adenomatosis and hepatoportal sclerosis in a woman with incontinentia pigmenti].[色素失禁症女性患者的肝腺瘤病与肝门脉硬化的关联]
Gastroenterol Clin Biol. 1997;21(2):147-51.