The University of Alabama System, Tuscaloosa, USA.
Wake Forest University School of Medicine, Winston-Salem, NC, USA.
J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096231166676. doi: 10.1177/23247096231166676.
Hepatic adenomas (HAs) are rare but benign neoplasms of the liver which predominantly present as solitary lesions in women of reproductive age. The incidence of HAs has increased dramatically since the introduction of oral contraceptive pills (OCPs) along with the rising incidence of obesity. Discontinuation of OCPs and lifestyle modifications, including weight loss regimens, are considered as conservative treatment options for HAs. Large lesions may result in malignant transformation with a higher propensity for hemorrhage. Importantly, larger lesions that do not respond to conservative management require surgical excision. We report a case of a patient presenting with multiple hepatic lesions that were subsequently confirmed as HAs.
肝腺瘤(HAs)是肝脏罕见的良性肿瘤,主要发生在育龄期妇女的单发病变。自口服避孕药(OCPs)问世以及肥胖发生率上升以来,HAs 的发病率急剧上升。停止使用 OCPs 和生活方式的改变,包括减肥方案,被认为是 HAs 的保守治疗选择。大的病变可能导致恶性转化,出血倾向更高。重要的是,对于那些不能通过保守治疗反应的较大病变,需要进行手术切除。我们报告了一例表现为多个肝病变的患者,随后证实为 HAs。