Goodman Z D, Ishak K G
Am J Surg Pathol. 1984 Oct;8(10):745-50. doi: 10.1097/00000478-198410000-00003.
Twelve cases of primary angiomyolipoma of the liver are presented. Histologically the tumors were similar to renal angiomyolipomas, containing tortuous blood vessels, smooth muscle, and fat. Some also contained prominent hematopoietic elements (angiomyomyelo-lipomas). The tumors may have necrosis and pleomorphic epithelioid smooth muscle cells which have led some to be mistaken for malignancies. Despite the similarity to their renal analogs, hepatic angiomyolipomas are not associated with tuberous sclerosis.
本文报告了12例肝脏原发性血管平滑肌脂肪瘤。组织学上,这些肿瘤与肾血管平滑肌脂肪瘤相似,含有迂曲的血管、平滑肌和脂肪。有些还含有显著的造血成分(血管肌骨髓脂肪瘤)。肿瘤可能有坏死和多形性上皮样平滑肌细胞,这导致一些病例被误诊为恶性肿瘤。尽管与肾血管平滑肌脂肪瘤相似,但肝脏血管平滑肌脂肪瘤与结节性硬化症无关。