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口服避孕药相关的肝脏肿瘤:恶性肿瘤的发生及诊断困难

Oral-contraceptive-associated liver tumours: occurrence of malignancy and difficulties in diagnosis.

作者信息

Neuberger J, Portmann B, Nunnerley H B, Laws J W, Davis M, Williams R

出版信息

Lancet. 1980 Feb 9;1(8163):273-6. doi: 10.1016/s0140-6736(80)90776-x.

DOI:10.1016/s0140-6736(80)90776-x
PMID:6101735
Abstract

Seven of ten women with oral-contraceptive-associated liver tumours were found to have hepatocellular carcinoma. The diagnosis was often delayed, although hepatomegaly was always present on examination, and liver-function tests and erythrocyte sedimentation-rates were abnormal in most cases. Other investigations, including routine technetium liver scans and biopsy, were sometimes misleading. There were important differences in alpha-fetoprotein concentration, vascularity on angiography, and survival between liver tumours in pill users and non-users.

摘要

在患有口服避孕药相关肝肿瘤的10名女性中,有7名被发现患有肝细胞癌。尽管检查时总是存在肝肿大,且大多数病例的肝功能检查和红细胞沉降率异常,但诊断往往延迟。包括常规锝肝扫描和活检在内的其他检查有时会产生误导。口服避孕药使用者和非使用者的肝肿瘤在甲胎蛋白浓度、血管造影显示的血管分布以及生存率方面存在重要差异。

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Oral-contraceptive-associated liver tumours: occurrence of malignancy and difficulties in diagnosis.口服避孕药相关的肝脏肿瘤:恶性肿瘤的发生及诊断困难
Lancet. 1980 Feb 9;1(8163):273-6. doi: 10.1016/s0140-6736(80)90776-x.
2
[A rare form of benign tumor of the liver possibly related to the use of oral contraceptives: focal pediculated nodular hyperplasia].[一种可能与口服避孕药使用有关的罕见肝脏良性肿瘤:局灶性带蒂结节性增生]
Rev Fr Gynecol Obstet. 1985 Aug-Sep;80(8-9):621-7.
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Hepatic adenoma and focal nodular hyperplasia.肝腺瘤和局灶性结节性增生。
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Oral contraceptive-associated liver cell adenoma and hepatocellular carcinoma. Cytomorphology and mechanism of malignant transformation.口服避孕药相关的肝细胞腺瘤和肝细胞癌。细胞形态学及恶性转化机制。
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Benign hepatic tumors and oral contraceptive pills.良性肝脏肿瘤与口服避孕药
Am J Med. 1976 Dec;61(6):871-7. doi: 10.1016/0002-9343(76)90411-3.
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Resolution of a contraceptive-steroid-induced hepatic adenoma with subsequent evolution into hepatocellular carcinoma.避孕药类固醇诱导的肝腺瘤消退,随后演变为肝细胞癌。
Ann Intern Med. 1986 Oct;105(4):547-9. doi: 10.7326/0003-4819-105-4-547.
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Role of oral contraceptives in the growth of a multilobular adenoma associated with a hepatocellular carcinoma in a young woman.
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Hepatic tumors and oral contraceptives: surgical management.肝脏肿瘤与口服避孕药:手术治疗
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Liver tumours associated with the use of contraceptive pills.与避孕药使用相关的肝脏肿瘤。
S Afr Med J. 1978 Mar 25;53(12):439-42.

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"Incidentaloma" of the liver: management of a diagnostic and therapeutic dilemma.肝脏“偶发瘤”:诊断与治疗困境的处理
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Malignant transformation of hepatocellular adenomas into hepatocellular carcinomas: a systematic review including more than 1600 adenoma cases.
肝细胞腺瘤恶变形成肝细胞癌:一项包含超过 1600 例腺瘤病例的系统综述。
HPB (Oxford). 2010 Oct;12(8):509-22. doi: 10.1111/j.1477-2574.2010.00222.x.
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Unreviewed reports.未经审核的报告。
Br Med J (Clin Res Ed). 1986 Feb 15;292(6518):450.
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Cochrane Database Syst Rev. 2007 Jan 24;2007(1):CD005164. doi: 10.1002/14651858.CD005164.pub2.
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Int J Gastrointest Cancer. 2001;30(3):141-6. doi: 10.1385/IJGC:30:3:141.
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