临床肝胆病杂志2012，Vol.28Issue(10)：775-776,2.
肝癌误诊为肝脏局灶性结节性增生5例临床分析
Clinical analysis of five cases of hepatocellular carcinoma misdiagnosed as liver focal nodular hyperplasia
郝志强 1傅熙博 1尚海 1刘也夫 1华向东 1付庆才1
作者信息
- 1. 辽宁省肿瘤医院肝胆外科,沈阳110042
- 折叠
摘要
Abstract
Objective To investigate the causes of misdiagnosis of hepatocellular carcinoma ( HCC) as focal nodular hyperplasia ( FNH) , and to evaluate potential differential diagnostic features between the two diseases. Methods Retrospective analysis was carried out for five patients initially diagnosed with FNH and confirmed as HCC after surgery between January 2008 and December 2011. Results The liver masses were initially indicated by ultrasound examination showing low echo areas or echo intensity inequality. Three of the cases underwent enhanced computed tomography (CT) examination, and two cases underwent enhanced magnetic resonance imaging (MRI) examination. A central scar was present in some of the cases. All of the cases were diagnosed with FNH by imaging findings and underwent surgical resection , after which pathology findings confirmed the HCC diagnosis. Conclusion The diagnosis of FNH in patients with hepatitis should be carefully considered for differential diagnosis of HCC. Imaging findings from enhanced CT and MRI may provide reveal differential features.关键词
局限性结节状增生/肝肿瘤/误诊Key words
focal nodular hyperplasia/ liver neoplasms/ diagnosis errors分类
医药卫生引用本文复制引用
郝志强,傅熙博,尚海,刘也夫,华向东,付庆才..肝癌误诊为肝脏局灶性结节性增生5例临床分析[J].临床肝胆病杂志,2012,28(10):775-776,2.
