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肝黏液瘤罕见病例:病例报告

A rare case of hepatic myxoma: Case Report.

作者信息

Lekalakala Refilwe, Phakula Martin L, Latakgomo Matsobane N

机构信息

University of Limpopo Faculty of Health Sciences, Polokwane, Limpopo, South Africa.

出版信息

Int J Surg Case Rep. 2021 Jan;78:317-320. doi: 10.1016/j.ijscr.2020.12.038. Epub 2020 Dec 31.

Abstract

Myxomas are benign tumours occurring commonly, but not limited to the heart. Myxomas can also occur in various locations such as the skeletal muscles, skin, urogenital tract, subcutaneous tissue and even in bone. They are quite rare; are tumours of mesenchymal origin and usually produce mucinous type fluid. About 1 in 10 are hereditary and tend to occur more commonly in women. Common benign hepatic masses are of epithelial origin and majority are discovered incidentally on radiological abdominal or chest screening. We present a case of an intrahepatic myxoma. Clinical and radiological features in keeping with a simple hepatic cyst. The elective surgical intervention planned was that of an open cystectomy. Progression of the case led to emergency laparotomy after trauma to the patient's abdomen and the patient presenting with an acute abdomen and clinical features of cyst rupture. Aspiration of the seemingly mixed solid-cystic mass revealed a very thick non purulent turbid fluid which was sent together with the excised mass for cytology and histopathology. Histology reported features of an intrahepatic myxoma.

摘要

黏液瘤是常见的良性肿瘤,但不限于心脏。黏液瘤也可发生于各种部位,如骨骼肌、皮肤、泌尿生殖道、皮下组织甚至骨骼。它们相当罕见,是间叶组织起源的肿瘤,通常产生黏液样液体。约十分之一为遗传性,且女性更易发生。常见的肝脏良性肿块起源于上皮组织,大多数是在腹部或胸部影像学筛查时偶然发现的。我们报告一例肝内黏液瘤病例。临床和影像学特征符合单纯肝囊肿。计划的择期手术干预是开放性囊肿切除术。病例进展导致患者腹部外伤后紧急剖腹手术,患者出现急腹症及囊肿破裂的临床特征。抽吸看似混合性实性-囊性肿块,发现一种非常浓稠的非脓性浑浊液体,该液体与切除的肿块一起送检进行细胞学和组织病理学检查。组织学报告为肝内黏液瘤特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4be2/7797470/7750422f69da/gr1.jpg

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