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肝脏局灶结节性增生的诊断与治疗

厉学民 张家敏 毛根军 俞世安 许龙堂 郑樟栋

中国中西医结合外科杂志2012,Vol.18Issue(3):229-231,3.
中国中西医结合外科杂志2012,Vol.18Issue(3):229-231,3.DOI:10.3969/j.issn.1007-6948.2012.03.003

肝脏局灶结节性增生的诊断与治疗

Diagnosis and Treatment for Focal Nodular Hyperplasia of the Liver

厉学民 1张家敏 1毛根军 1俞世安 1许龙堂 1郑樟栋1

作者信息

  • 1. 浙江省金华市中心医院肝胆胰外科,金华321000
  • 折叠

摘要

Abstract

Objective To investigate the diagnosis and treatment for focal nodular hyperplasia (FNH) of the liver. Methods Clinical data of 11 FNH patients confirmed by operation and histological examination were analyzed retrospectively. Results 73%(8/ll)of patients with FNH were under 45 years of age. 82%(9/ll) of patients were asymptomatic. Single tumor was found in 10 cases,two tumors was found inlcase.The diameters of tumor ranged 2.0-13.4cm.Tumor makers including AFP and CEA and CA19-9 were within normal range. MRI is helpful to diagnosis for FNH, correct preoperative diagnosis rate was 75% (6/8). All patients underwent resection of tumor, and there was not mortality and severe complication. No recurrence was observed after follow-up of 4-78 months. Conclusion MRI are valuable for the diagnosis of focal nodular hyperplasia of liver. Operation is the optimal treatment for FNH. Surgical resection is necessary when the patient becomes sympotomatic or when there is a suspicion of malignancy.

关键词

肝肿瘤/局灶结节性增生/诊断/外科治疗

Key words

Liver neoplasms/ Focal nodular hyperplasia/ Diagnosis/ Surgical treatment

分类

医药卫生

引用本文复制引用

厉学民,张家敏,毛根军,俞世安,许龙堂,郑樟栋..肝脏局灶结节性增生的诊断与治疗[J].中国中西医结合外科杂志,2012,18(3):229-231,3.

中国中西医结合外科杂志

OACSTPCD

1007-6948

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