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[肝脏非寄生虫性孤立性囊肿(作者译)]

[Non-parasitic solitary cysts of the liver (author's transl)].

作者信息

Arianoff A A, Vielle G, Arianoff V, Karakand J P

出版信息

Acta Chir Belg. 1979 Sep-Oct;78(5):289-300.

PMID:517017
Abstract

Three cases of solitary benign livercysts are reported. The first one (250 cm3) was incidentally discovered during a cholecystectomy for lithiasis and was located in the vicinity of a hamartoma. The second one was enormous (4800 cm3), inflamed, adherent and displacing the nearby organs. The third one contained 3,600 cm3. The literature of this rather rare entity was reviewed and the symptomatology, clinical findings, laboratory results, liver scintigraphy, selective arteriography and especially the coaxial computer tomography scan which by itself just almost reveals the diagnosis, are discussed in function of our findings. The etiology of these tumors and their possible association with a hamartoma is discussed. A classification of kystic livertumors is proposed. The treatment of choice is a kystectomy and the prognosis is good.

摘要

报告了三例孤立性良性肝囊肿。第一例(250立方厘米)在因结石行胆囊切除术时偶然发现,位于错构瘤附近。第二例囊肿巨大(4800立方厘米),有炎症,与周围器官粘连并使其移位。第三例囊肿体积为3600立方厘米。回顾了关于这种相当罕见疾病的文献,并根据我们的研究结果讨论了症状、临床发现、实验室检查结果、肝脏闪烁扫描、选择性动脉造影,特别是几乎仅凭其本身就能揭示诊断的同轴计算机断层扫描。讨论了这些肿瘤的病因及其与错构瘤可能的关联。提出了肝囊肿肿瘤的分类。首选治疗方法是囊肿切除术,预后良好。

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