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肝脏巢状间质上皮肿瘤:一种治疗极其罕见恶性肿瘤的多学科方法。

Nested stromal epithelial tumor of the liver: A multidisciplinary approach to the treatment of an extremely rare malignancy.

作者信息

Mann Ryan, Kristenson Scott, Kitley Charles, Thoren Kendra

机构信息

Madigan Army Medical Center, 9040A Jackson Avenue, Tacoma WA, 98431, USA.

出版信息

Radiol Case Rep. 2020 Jun 12;15(8):1216-1220. doi: 10.1016/j.radcr.2020.05.030. eCollection 2020 Aug.

DOI:10.1016/j.radcr.2020.05.030
PMID:32566067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7299906/
Abstract

Nested stromal epithelial tumor (NSET) of the liver is an extremely rare and unusual liver neoplasm with limited evidence of best practice for management. We report a 28-year-old male with NSET managed with primary partial hepatectomy with subsequent disease recurrence with follow-up metastectomy and successful radiofrequency ablation (RFA). Management of NSET of the liver requires a multidisciplinary approach. RFA proves beneficial in a patient with disease recurrence following tumor resection. In order to validate the regular use of RFA, more long term studies would be required.

摘要

肝脏巢状间质上皮肿瘤(NSET)是一种极其罕见且不寻常的肝脏肿瘤,关于其最佳治疗方法的证据有限。我们报告了一名28岁的NSET男性患者,接受了一期部分肝切除术,随后疾病复发,进行了后续的转移灶切除术和成功的射频消融(RFA)。肝脏NSET的治疗需要多学科方法。对于肿瘤切除后疾病复发的患者,RFA被证明是有益的。为了验证RFA的常规使用,还需要更多的长期研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/73a044fc361d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/99b2816a3dcb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/383fb0eaac66/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/347b512967a8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/4ca16beb467b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/0fa683eecedf/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/73a044fc361d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/99b2816a3dcb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/383fb0eaac66/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/347b512967a8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/4ca16beb467b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/0fa683eecedf/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46aa/7299906/73a044fc361d/gr6.jpg

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本文引用的文献

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Contrast-Enhanced Ultrasound of Focal Liver Lesions.肝脏局灶性病变的超声造影
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Nested stromal-epithelial tumour of the liver: An unusual liver entity.肝脏巢状间质-上皮肿瘤:一种罕见的肝脏病变。
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Nested stromal-epithelial tumor (NSET) of the liver: a case report of an extremely rare tumor.肝内巢状间质-上皮性肿瘤(NSET):一种极其罕见肿瘤的病例报告。
Pathol Res Pract. 2010 Apr 15;206(4):282-6. doi: 10.1016/j.prp.2009.04.012. Epub 2009 May 31.
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Calcifying nested stromal-epithelial tumors of the liver: a clinicopathologic, immunohistochemical, and molecular genetic study of 9 cases with a long-term follow-up.肝脏钙化性巢状间质-上皮性肿瘤:9 例长期随访的临床病理、免疫组织化学和分子遗传学研究。
Am J Surg Pathol. 2009 Jul;33(7):976-83. doi: 10.1097/PAS.0b013e31819c1ab3.
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Am J Surg Pathol. 2005 Jan;29(1):10-20. doi: 10.1097/01.pas.0000147398.03015.9e.
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Ossifying malignant mixed epithelial and stromal tumor of the liver: a case report of a previously undescribed tumor.肝脏骨化性恶性混合上皮和间质肿瘤:一例既往未描述肿瘤的病例报告
Cancer. 2002 Feb 15;94(4):1018-22.