Lai F M, Jayakumar C R, Saw L, Kumar G
Department of Radiology, University Hospital Kuala Lumpur, Malaysia.
Singapore Med J. 1996 Apr;37(2):226-8.
Primary tumours of the liver are uncommon in childhood. Of these, more than two-thirds are malignant. As such, benign hepatic tumours are often not considered in the differential diagnosis of a hepatic mass in childhood. We report a case of hepatic mesenchymal hamartoma, a rare benign tumour, in a 10-month-old infant. This tumour is characterised by an admixture of ductal structures within a copious loose connective tissue stroma. Only approximately 160 cases had been reported in the literature. Awareness of the ultrasound (U/S) and computed tomography (CT) features, although not diagnostic, is helpful in distinguishing it from the more common malignant tumours. A correct preoperative diagnosis is important as surgical excision is often curative.
肝脏原发性肿瘤在儿童时期并不常见。其中,超过三分之二为恶性肿瘤。因此,在儿童肝脏肿块的鉴别诊断中,通常不会考虑良性肝肿瘤。我们报告一例10个月大婴儿的肝间叶性错构瘤,这是一种罕见的良性肿瘤。该肿瘤的特征是在大量疏松结缔组织基质内混合有导管结构。文献中仅报道了约160例。了解超声(U/S)和计算机断层扫描(CT)特征,虽然不能确诊,但有助于将其与更常见的恶性肿瘤区分开来。术前正确诊断很重要,因为手术切除通常可治愈。