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[肝脏炎性假瘤——未确定的肝脏占位性病变的罕见鉴别诊断。病例报告及文献复习]

[Inflammatory pseudotumor of the liver--rare differential diagnosis of undetermined hepatic space-occupying lesion. Case report and review of the literature].

作者信息

Mathiak G, Meyer-Pannwitt U, Mathiak M, Schröder S, Henne-Bruns D, Fröschle G

机构信息

Chirurgische Klinik, Universität Hamburg, Germany.

出版信息

Langenbecks Arch Chir. 1996;381(6):309-17. doi: 10.1007/BF00191310.

Abstract

Hepatic masses are predominantly malignant, and whereas benign tumors are rare. We report the case of a 65-year-old man who presented with an anomalous hepatic mass. Following explorative laparotomy and left lateral segmentectomy (II/III), the patient was diagnosed as having an inflammatory pseudotumor of the liver. So far only 102 cases of "inflammatory pseudotumor of the liver" have been reported in the literature. Asia is a geographical center for this tumor entity, which mostly affects men. The major symptoms are nonspecific: fever, weight loss and general fatigue. The prognosis of "inflammatory pseudotumor of the liver" is very good. In 98% of the cases, a cure has been obtained after surgical therapy, but conservative therapy approaches also yield good results.

摘要

肝脏肿物大多为恶性,良性肿瘤罕见。我们报告一例65岁男性患者,其肝脏出现异常肿物。经剖腹探查及左外叶切除术(Ⅱ/Ⅲ段)后,该患者被诊断为肝脏炎性假瘤。迄今为止,文献中仅报道了102例“肝脏炎性假瘤”病例。亚洲是这种肿瘤实体的地理高发中心,该病主要影响男性。主要症状不具特异性:发热、体重减轻和全身乏力。“肝脏炎性假瘤”的预后非常好。98%的病例在手术治疗后可治愈,但保守治疗方法也能取得良好效果。

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