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[成人患者出现的肝间叶性错构瘤]

[Hepatic mesenchymatous hamartoma presenting in an adult patient].

作者信息

Rey M J, Ordi J, Ribé A, García-Valdecasas J C, Ayuso J R, Cardesa A

机构信息

Departamento de Anatomía Patológica, Hospital Clínic i Provincial, Facultad de Medicina, Universidad de Barcelona.

出版信息

Med Clin (Barc). 1995 Feb 11;104(5):180-2.

PMID:7877378
Abstract

Mesenchymatous hamartoma is a benign liver tumor characteristically found in childhood, particularly during the first two years of life. A case of mesenchymatous hamartoma detected in a 23-year-old female during a study for non specific abdominal disturbances is presented. Imaging techniques showed a large mass in the right hepatic lobe with hypodense areas of cystic appearance. Pathologic study demonstrated the characteristic mixoid mesenchymatous component with areas of cyst formation and rests of liver tissue inside the tumor. Despite its rarity in adults this case demonstrates the need to consider mesenchymatous hamartoma in the differential diagnosis of hepatic masses in adults, particularly when radiologic examination demonstrates cystic components.

摘要

间叶性错构瘤是一种良性肝脏肿瘤,其特征是在儿童期发现,尤其是在生命的头两年。本文报告了一例在对一名23岁女性进行非特异性腹部不适检查时发现的间叶性错构瘤病例。影像学检查显示右肝叶有一个大肿块,呈囊性低密度区。病理研究显示肿瘤内有特征性的黏液样间叶成分,伴有囊肿形成区域和肝组织残留。尽管间叶性错构瘤在成人中罕见,但该病例表明,在成人肝脏肿块的鉴别诊断中需要考虑间叶性错构瘤,特别是当影像学检查显示有囊性成分时。

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