Fletcher M S, Everett W G, Hunter J O, Smellie W A, Wight D G
Br J Surg. 1980 Jun;67(6):403-5. doi: 10.1002/bjs.1800670607.
Five cases are described in which hepatic nodules discovered as an incidental finding at laparotomy performed for other reasons were thought to be metastatic tumour. In each case histology and clinical course proved this assumption to be incorrect. It is emphasized that biopsy is mandatory in such circumstances to establish the diagnosis. Where the nature of the hepatic lesion might affect the choice of operative procedure frozen section examination should be performed at the time of surgery. Bacteriological culture may also be helpful.
本文描述了5例病例,这些病例在因其他原因进行剖腹手术时偶然发现肝脏结节,当时被认为是转移性肿瘤。但在每例病例中,组织学检查和临床病程均证明这一假设是错误的。强调在这种情况下必须进行活检以明确诊断。如果肝脏病变的性质可能影响手术方式的选择,手术时应进行冰冻切片检查。细菌学培养也可能有所帮助。