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隐匿性乙型肝炎病毒感染相关的肝脏假性淋巴瘤

Hepatic Pseudolymphoma with an Occult Hepatitis B Virus Infection.

作者信息

Kunimoto Hideo, Morihara Daisuke, Nakane Shin-Ichiro, Tanaka Takashi, Yokoyama Keiji, Anan Akira, Takeyama Yasuaki, Irie Makoto, Shakado Satoshi, Noritomi Tomoaki, Takeshita Morishige, Yoshimitsu Kengo, Sakisaka Shotaro

机构信息

Department of Gastroenterological, Faculty of Medicine, Fukuoka University, Japan.

Department of Radiology, Faculty of Medicine, Fukuoka University, Japan.

出版信息

Intern Med. 2018 Jan 15;57(2):223-230. doi: 10.2169/internalmedicine.8981-17. Epub 2017 Oct 16.

DOI:10.2169/internalmedicine.8981-17
PMID:29033422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5820041/
Abstract

A 49-year-old woman who was asymptomatic was found to have a small liver tumor on abdominal ultrasonography (US) at her annual health checkup. US revealed a hypoechoic, solid, mass measuring 17-mm in size in segment 6. The tumor markers associated with liver malignancy were negative. An infectious disease screen was negative for hepatitis B surface antigen, but positive for antibody to hepatitis B core antigen. Imaging studies using computed tomography (CT), magnetic resonance imaging (MRI), and CT angiography suggested a malignant liver tumor, such as hepatocellular carcinoma. Partial hepatic resection of the posterior segment was performed. The pathological diagnosis was pseudolymphoma of the liver.

摘要

一名49岁无症状女性在年度健康检查的腹部超声检查中发现有一个小的肝脏肿瘤。超声显示在肝段6有一个大小为17毫米的低回声实性肿块。与肝脏恶性肿瘤相关的肿瘤标志物为阴性。传染病筛查乙肝表面抗原阴性，但乙肝核心抗体阳性。计算机断层扫描（CT）、磁共振成像（MRI）和CT血管造影等影像学检查提示为恶性肝脏肿瘤，如肝细胞癌。遂行肝后段部分肝切除术。病理诊断为肝脏假性淋巴瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/78c97f9dfb38/1349-7235-57-0223-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/4bf514730bd7/1349-7235-57-0223-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/6b0edc36369e/1349-7235-57-0223-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/d1aa326ae7e2/1349-7235-57-0223-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/bde7eee18192/1349-7235-57-0223-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/41ee1cb07583/1349-7235-57-0223-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/78c97f9dfb38/1349-7235-57-0223-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/4bf514730bd7/1349-7235-57-0223-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/6b0edc36369e/1349-7235-57-0223-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/d1aa326ae7e2/1349-7235-57-0223-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/bde7eee18192/1349-7235-57-0223-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/41ee1cb07583/1349-7235-57-0223-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e779/5820041/78c97f9dfb38/1349-7235-57-0223-g006.jpg

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A case of hepatic reactive lymphoid hyperplasia: the review of 23 cases from the literatures.肝反应性淋巴组织增生症 1 例并文献复习 23 例
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