Naoi Y, Tomita T, Tanaka T, Katayama H, Ohhashi K, Murakami Y, Takagi K, Yoshida T, Hiraiwa T, Sakurai K
Gan No Rinsho. 1985 Aug;31(10):1332-6.
A 65-year-old woman with cystadenocarcinoma of the liver is reported, and 21 Japanese patients cited in the previous literature are reviewed. In our case, CT and US demonstrated a huge solid tumor with calcification in the right lobe of the liver. Angiograms showed a hypovascular tumor with peripheral irregular neovascularity. ERCP showed compression of the extrahepatic bile duct. Right lobectomy of the liver was performed. The pathological diagnosis was cystadenocarcinoma of the liver. In our case, it was difficult to diagnose cystadenocarcinoma because the cystic mass had viscious contents and necrotic tissues, so CT and US showed findings of a solid tumor.
本文报告了1例65岁的肝囊腺癌女性患者,并对先前文献中引用的21例日本患者进行了回顾。在我们的病例中,CT和超声显示肝脏右叶有一个巨大的实性肿瘤伴有钙化。血管造影显示为低血供肿瘤,周边有不规则新生血管。ERCP显示肝外胆管受压。实施了肝脏右叶切除术。病理诊断为肝囊腺癌。在我们的病例中,由于囊性肿块含有粘性内容物和坏死组织,所以难以诊断为囊腺癌,因此CT和超声显示为实性肿瘤的表现。