Lim Manuel, Kim Jong Man, Kwon Ji Eun, Jeong Eun Sung, Yang Jaehun, Lee Okjoo, Kim Kyeong Deok, Kim Sang Jin, Rhu Jinsoo, Choi Gyu-Seong, Joh Jae-Won
Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
J Liver Cancer. 2021 Mar;21(1):87-91. doi: 10.17998/jlc.21.1.87. Epub 2021 Mar 31.
Hepatocellular adenoma is a benign tumor of the liver occurring predominantly in young women taking oral contraceptives. The malignant transformation of hepatocellular adenoma into hepatocellular carcinoma has rarely been reported. Herein, we report the case of an elderly male patient with hepatocellular carcinoma that developed from hepatocellular adenoma. The patient's high risk for surgery and conflicting biopsy and imaging results made it difficult to determine the treatment direction. Eventually, the mass was completely removed by laparoscopic left hemi-hepatectomy without complications.
肝细胞腺瘤是一种主要发生在服用口服避孕药的年轻女性中的肝脏良性肿瘤。肝细胞腺瘤恶变为肝细胞癌的情况鲜有报道。在此，我们报告一例由肝细胞腺瘤发展而来的肝细胞癌老年男性患者的病例。该患者手术风险高，活检和影像学结果相互矛盾，难以确定治疗方向。最终，通过腹腔镜左半肝切除术将肿块完全切除，且无并发症发生。
