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中国癌症防治杂志 ›› 2011, Vol. 3 ›› Issue (2): 120-.doi: 10.3969/j.issn.1674-5671.2011.02.07

• 临床研究 • 上一篇    下一篇

肝脏上皮样血管平滑肌脂肪瘤1例临床病理特征分析及文献复习

张 斌, 吕自力, 覃 晓, 彭民浩, 彭 涛   

  • 出版日期:2011-08-03 发布日期:2011-08-03
  • 基金资助:

    国家自然科学基金(NSFC81072321,NSFC30960021-C010803);广西医疗卫生重点科研课题基金(重201018)资助课题

ZHANG Bin, 吕Zi-Li , QIN Xiao, PENG Min-Hao, PENG Tao   

  • Online:2011-08-03 Published:2011-08-03

摘要: 【摘要】目的 回顾分析1 例肝脏上皮样血管平滑肌脂肪瘤(epithelioid angiomyolipoma,EAML )的临床和病理学特点,结合文献复习为临床诊断及治疗提供参考。方法 详尽分析1 例肝脏EAML的临床、影像学及病理学特点,结合文献复习进行讨论。结果 对肝左内叶单发巨大占位行左半肝切除术,术中及术后均未使用抗肿瘤药物治疗,随访 15 个月无瘤生存。结论肝脏EAML临床极为罕见,术前诊断困难且有恶性潜能,目前治疗仍首选肿瘤切除术,对抗肿瘤药物治疗尚无统一认识,术后密切随访对进一步明确其肿瘤生物学行为特征极为重要。

关键词: 【关键词】 肝脏, 肿瘤, 上皮样血管平滑肌脂肪瘤

Abstract: 【Abstract】Objective To analyze retrospectively the clinical and pathological features of a case of hepatic epithelioid angiomyolipoma,with literatures review.Methods The clinical,radiological and pathological features of the case were analyzed,and the related literatures were reviewed. Results The case received left lobe hepatectomy and has been 15-months of tumor-free survival. Conclusions Hepatic epithelioid angiomyolipoma is extremely rare and difficult to diagnose before operation. Due to its malignant potential,surgical resection is recommended and close follow-up is important to confirm its biology feature. There is no agreement on chemotherapy regime for this neoplasm.

Key words: 【Key words】Liver, Tumor, Epithelioid angiomyolipoma