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真性肝脏畸胎瘤非常少见,文献报告仅23例,尚包括7个成人病例在内。本文报告1例小儿真性肝脏畸胎瘤,有高甲胎蛋白存在。目前24例肝脏畸胎瘤中,7例成人,17例小儿,多数年龄在3岁以下,女孩多见,其中11例有恶变,13例属良性。根据本文作者Takuii、Todani等收集的病例,发现特别在肝脏畸胎瘤患者,切除的肿瘤标本中,肝脏组织比较常见,90％以上的病例有肝细胞存在,这与其他部位发生的畸胎瘤有显著不同。作者认为,肝脏畸胎瘤也可以象肝脏恶性肿瘤那样,产生高甲胎蛋白,只是以往尚未引起注意。
True liver teratoma is very rare, the literature reported only 23 cases, including 7 adult cases included. This article reports a case of pediatric true liver teratoma, a high presence of a-fetoprotein. Currently 24 cases of liver teratoma, 7 cases of adults, 17 cases of children, most of the age of 3 years of age, more common in girls, of which 11 cases of malignant, 13 cases are benign. According to the cases collected by the author Takuii, Todani et al., Liver tissue was found to be more common in resected tumor specimens of liver teratoma patients, and more than 90% of the cases had hepatocytes, which was associated with teratoma in other sites There are significant differences. The authors believe that liver teratoma can also produce high alpha-fetoprotein like liver malignancies, but in the past has not drawn any attention.