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巨大孤立性肝坏死结节:一例罕见病例报告并文献复习

Huge solitary necrotic nodule of the liver: a rare case report with review of literature.

作者信息

Zhang Xinyue, Fang Weilan, Zeng Liangtao, Liu Fanrong

机构信息

Department of Pathology, The Second Affiliated Hospital of Nanchang University Nanchang, China.

出版信息

Int J Clin Exp Pathol. 2021 Oct 15;14(10):1065-1068. eCollection 2021.

Abstract

Solitary necrotic nodule of the liver (SNNL) is an uncommon disease in clinical practice, and its pathogenesis is still unclear. Here, we report the case of a 35-year-old woman. After physical examination, the patient was found to have a liver neoplasm, and there were no other physical complaints. Abdominal contrast-enhanced computed tomography (CT) showed the presence of a hypodense lesion. The patient opted for surgery to eliminate the lesion. Pathologic examination revealed an isolated necrotic nodular lesion with a size of 12 cm×10 cm×10 cm. The patient had a history of hepatitis B infection. To our knowledge, this is the largest SNNL ever reported and the first case with a history of hepatitis B infection.

摘要

肝脏孤立性坏死结节(SNNL)在临床实践中是一种罕见疾病,其发病机制仍不清楚。在此,我们报告一例35岁女性病例。体格检查发现该患者患有肝脏肿瘤,且无其他身体不适主诉。腹部增强计算机断层扫描(CT)显示存在一个低密度病变。患者选择手术切除该病变。病理检查显示为一个孤立的坏死性结节病变,大小为12 cm×10 cm×10 cm。该患者有乙型肝炎感染史。据我们所知,这是迄今为止报道的最大的SNNL病例,也是首例有乙型肝炎感染史的病例。

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本文引用的文献

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Solitary necrotic nodule of the liver: always benign?肝脏孤立性坏死性结节:总是良性的吗?
J Gastrointest Surg. 2010 Mar;14(3):536-40. doi: 10.1007/s11605-009-1120-3. Epub 2009 Dec 9.

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