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肝细胸腺癌少见,本病呈多发性及恶变者少有报道,我院收治一例报告如下。男患,15岁,患者2年前右上腹出现无痛性块块,当时体查可扪及右上腹一10×6cm,表面光滑、质中等、无触痛、似与肝脏相连的肿块。甲胎球蛋白检测阴性,B超及同位素扫描示肝左叶内占位性病变。手术见肼在叶内一13×12×11cm暗红色实质肝块,包膜完整,边界清楚,表面光滑,探查其余肝未发现肿块,遂作肝肿块切除术。病理报告示肝细胞腺瘤。术后患者顺利出院。2年后患者右上腹再次出现肿块,可扪及右上腹多个边界欠清肿块。甲胎蛋白检测转阳性,
The rare cases of thoracic hepatocarcinoma of the liver, rare cases of multiple disease and malignant transformation of this disease, one case reported in our hospital. Male patient, 15 years old, had painless masses in the right upper quadrant two years ago. At that time, the physical examination was awkward and a 10 x 6 cm in the right upper abdomen. The surface was smooth, of moderate quality, tender, and like a lump connected to the liver. Negative alpha-fetoprotein detection, B-scan and isotope scans showed lesions in the left lobe of the liver. The operation saw a 13×12×11 cm dark red parenchymal liver mass in the leaf. The capsule was intact, the boundary was clear, and the surface was smooth. No lumps were found after exploration of the remaining liver and hepatectomy was performed. Pathology report showed hepatocellular adenoma. The patient was discharged from the hospital. Two years later, a recurrence of a mass in the right upper quadrant of the patient resulted in a lack of clear masses at the borders of the right upper quadrant. AFP detection is positive,