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目的:探讨肝细胞腺瘤(HCA)的临床特点、影像学表现及其鉴别诊断,以期对其进行准确诊断和治疗。方法:回顾性分析收治的1例HCA患者资料,并复习相关文献。结果:术前影像学检查提示肝右叶占位性病变,肿瘤标志物均阴性,血清γ-谷氨酰转移酶升高。行肝脏V及部分VIII段切除,病理诊断为肝右叶HCA。术后随访2个月,患者恢复良好,复查实验室指标、腹部CT未见异常。结论:HCA为一种少见的肝脏良性肿瘤,常无明显临床症状,术前CT和MRI增强扫描能提高该病诊断率。考虑到HCA有出血倾向及癌变可能,手术切除是其主要的治疗方式,且预后良好。
Objective: To investigate the clinical features, imaging findings and differential diagnosis of hepatocellular adenoma (HCA) with a view to accurate diagnosis and treatment. Methods: A retrospective analysis of 1 case of HCA patients admitted to the data, and review the relevant literature. Results: Preoperative imaging examination showed lesions of the right lobe of the liver, tumor markers were negative, serum γ-glutamyl transferase increased. The liver V and part VIII of the line resection, the pathological diagnosis of right lobe HCA. The patients were followed up for 2 months. The patients recovered well and the laboratory indexes were reviewed. Abdominal CT was normal. Conclusion: HCA is a rare benign liver tumor, often without obvious clinical symptoms. Preoperative CT and MRI enhanced scan can improve the diagnosis rate of the disease. Given that HCA has a tendency to hemorrhage and may be cancerous, surgical resection is the primary treatment and has a good prognosis.