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[肝囊肿:一例报告及解剖病理学与临床治疗考量]

[Hepatic cysts: a case report and anatomicopathological and clinico-therapeutic considerations].

作者信息

Boaretto R, Fornaro R, Bertoglio C, Terrizzi A, Carissimi T, Cambiaso C, Ferraris R

机构信息

Cattedra di Semeiotica Chirurgica R, Università degli Studi di Genova.

出版信息

G Chir. 1996 Nov-Dec;17(11-12):593-6.

PMID:9162183
Abstract

The recent observation of a case of non-parasitic cyst of the liver brought the authors to a literature review. A 62 year old male, affected by type 2 diabetes and hypertension, after a CT scan and ETG, underwent resection and "capitonnage" of the cyst. Three months after surgery a CT scan showed a complete repletion of the cavity previously occupied by the cyst as a consequence of regeneration and reorganization of the hepatic parenchyma. In conclusion, hepatic cysts are rare and clinically relevant only when huge. The diagnosis is possible with the use of ETG and CT scan of the abdomen, however, in some cases angiography is also useful. The intervention of choice is the "capitonnage" of the cyst.

摘要

最近对一例肝非寄生虫性囊肿的观察促使作者进行了文献回顾。一名62岁男性,患有2型糖尿病和高血压,在进行CT扫描和内镜超声检查(ETG)后,接受了囊肿切除及“填塞术”。术后三个月的CT扫描显示,由于肝实质的再生和重组,先前被囊肿占据的腔隙已完全填满。总之,肝囊肿很罕见,只有在囊肿巨大时才具有临床意义。通过腹部内镜超声检查(ETG)和CT扫描可以做出诊断,然而,在某些情况下血管造影也很有用。首选的干预方法是囊肿“填塞术”。

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