病例报告：一名患有严重再生障碍性贫血的年轻男性的不明肝脏病变：一个值得汲取经验的案例。

Case Report: An Undefined Liver Lesion in a Young Man With Severe Aplastic Anemia: A Teachable Moment.

作者信息

Liu Jin, Sui Jidong, Sun Deguang, Guo Kun, Gao Zhenming, Bian Jie, Yan Jinsong, Wang Liming

机构信息

Division of Hepatobiliary and Pancreatic Surgery, Department of General Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.

Department of Pathology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.

出版信息

Front Surg. 2021 Jul 14;8:665367. doi: 10.3389/fsurg.2021.665367. eCollection 2021.

DOI:10.3389/fsurg.2021.665367

PMID:34336914

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8317259/

Abstract

In this work, we reported a young man complaining of asthenia and intermittent fever for 10 days, and an ultrasound showed an undefined lesion on his liver. Facing the patient's situation with severe agranulocytosis, anemia, and thrombocytopenia, we passed through a tough diagnostic process for choosing an appropriate treatment for him with an ambiguous result of pathological biopsy. The undefined liver lesion was successfully solved by withdrawing the androgen for observation, without lobectomy. The lesion gradually diminished over 2 years of follow-up.

摘要

在这项工作中，我们报告了一名年轻男性，他主诉乏力和间歇性发热10天，超声检查显示其肝脏有一个不明病变。面对患者严重粒细胞缺乏、贫血和血小板减少的情况，我们经历了一个艰难的诊断过程，以便在病理活检结果不明确的情况下为他选择合适的治疗方法。通过停用雄激素进行观察，未进行肝叶切除术，成功解决了肝脏的不明病变。在2年的随访中，病变逐渐缩小。