Terblanche J
S Afr Med J. 1978 Mar 25;53(12):439-42.
The possible association between benign liver tumours and the use of oral contraceptives is reviewed. The possible aetiological role of the pill, the confusion regarding the pathology of these lesions, and the presentation and diagnosis of the 4 clinical categories are discussed. These categories are: an incidental, asymptomatic lesion; a mass in the abdomen; upper abdominal pain; and shock due to rupture, with intraperitoneal haemorrhage. The importance of an awareness of the condition and the use of liver scanning, ultrasound and hepatic angiography in making a diagnosis, are emphasized. Biopsy is essential to establish the diagnosis and to differentiate benign from malignant tumours. A policy of treatment for the patients with different clinical presentations is detailed.
本文综述了良性肝肿瘤与口服避孕药使用之间可能存在的关联。讨论了避孕药可能的病因学作用、这些病变病理学方面的混淆，以及4种临床类型的表现和诊断。这4种临床类型为：偶然发现的无症状病变；腹部肿块；上腹部疼痛；以及因破裂伴腹腔内出血导致的休克。强调了认识该疾病以及使用肝脏扫描、超声和肝血管造影进行诊断的重要性。活检对于确诊以及区分良性和恶性肿瘤至关重要。详细阐述了针对不同临床表现患者的治疗策略。
