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[长期使用口服避孕药患者肝腺瘤转变为肝细胞癌]

[Transformation of hepatic adenoma into hepatocellular carcinoma in patients with prolonged use of oral contraceptives].

作者信息

Herman P, Machado M A, Volpe P, Pugliese V, Vianna M R, Bacchella T, Machado M C, Pinotti H W

机构信息

Departamento de Gastroenterologia da Faculdade de Medicina da Universidade de São Paulo.

出版信息

Rev Hosp Clin Fac Med Sao Paulo. 1994 Jan-Feb;49(1):30-3.

PMID:8029613
Abstract

Liver cell adenomas were relatively rare until the use of oral contraceptives. Most of these tumors have occurred in otherwise healthy young women who have been exposed to oral contraceptives. The treatment of this condition remained controversial for a long time. However, bleeding is still a frequent complication and can lead to a significant mortality rate. The better surgical results in hepatic resection, due to technological advances, has contributed to the indication of surgical management as therapeutic option in hepatic cell adenoma. Some authors believe that liver cell adenomas were potentially premalignant and could degenerate into hepatocellular carcinoma but there is very few well documented reports of this transformation. We report our experience in the management of liver cell adenoma.

摘要

在口服避孕药应用之前,肝细胞腺瘤相对罕见。这些肿瘤大多发生在接触过口服避孕药的其他方面健康的年轻女性身上。长期以来,这种疾病的治疗一直存在争议。然而,出血仍是常见的并发症,可导致显著的死亡率。由于技术进步,肝切除术的手术效果更好,这促使将手术治疗作为肝细胞腺瘤的治疗选择。一些作者认为肝细胞腺瘤有潜在的恶变倾向,可能会恶变为肝细胞癌,但关于这种转变的详细记录报告很少。我们报告我们在肝细胞腺瘤管理方面的经验。

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