肝脏原发性神经内分泌肿瘤：给病理学家的一次警醒
Primary neuroendocrine tumor of liver: An eye opener for a pathologist.
作者信息
Kumar Arvind, Kalonia Tushar, Bharati Vandna, Gupta Amit
机构信息
Department of Pathology, AIIMS, Rishikesh, Uttarakhand, India.
Department of General Surgery, AIIMS, Rishikesh, Uttarakhand, India.
出版信息
J Family Med Prim Care. 2020 Jun 30;9(6):3151-3153. doi: 10.4103/jfmpc.jfmpc_224_20. eCollection 2020 Jun.
INTRODUCTION
Neuroendocrine tumors (NETs) are neoplasms that arise from cells of the endocrine (hormonal) and nervous systems. Many are benign, while some are malignant. They most commonly occur in the intestine. While the liver is a common site of metastases.
CASE PRESENTATION
We describe a 73-year-old female who reported to our center with complains of swelling and pain in the right upper quadrant of stomach. CECT revealed large well-localized multicystic mass in the right lobe of the liver. A suspicion of hydatid cyst was given. However, immunogenic tests results were negative for hydatid cyst. The AFP level was also unremarkable.
CONCLUSION
Histopathological examination with immunohistochemical panel along with other serological and radiological investigations made the diagnosis possible due to its vague clinical presentation.
引言
神经内分泌肿瘤（NETs）是起源于内分泌（激素）和神经系统细胞的肿瘤。许多是良性的，而有些是恶性的。它们最常发生在肠道。肝脏是常见的转移部位。
病例介绍
我们描述了一名73岁女性，她因右上腹肿胀和疼痛前来我们中心就诊。CT增强扫描显示肝脏右叶有一个边界清晰的大的多囊性肿块。怀疑是包虫囊肿。然而，包虫囊肿免疫原性检测结果为阴性。甲胎蛋白水平也无异常。
结论
由于临床表现模糊不清，通过组织病理学检查、免疫组化分析以及其他血清学和影像学检查才得以确诊。
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