肝脏血管平滑肌脂肪瘤12例临床经验分析  

Clinical study of 12 patients with hepatic angiomyolipoma

作　　者：尚丽明[1] 张斌[1] 彭涛[1] 叶新平[1] 苏志雄[1] 苏浩[1] 朱广志[1] 覃晓[1] 

机构地区：[1]广西医科大学第一附属医院肝胆血管外科,广西南宁530021

出　　处：《现代预防医学》2012年第19期5204-5206,共3页Modern Preventive Medicine

基　　金：广西医疗卫生重点科研基金 (重 201018)

摘　　要：目的回顾分析12例肝脏血管平滑肌脂肪瘤(Hepati cangiomyolipoma,HAML)的临床特点及病理特征,为临床诊断及治疗提供参考。方法分析某中心2011年12例HAML的临床治疗经过及随访结果,结合文献复习进行讨论。结果术前缺乏特异的临床症状、体征,影像学表现多样。10例手术切除后病理确诊,2例经肝穿活检确诊后未手术,随访4个月～6年2个月,均未见复发或转移。结论 HAML临床较少见,术前明确诊断困难,治疗首选手术切除,而肝穿活检或术中快速冰冻病理检查对指导治疗有重要的意义。OBJECTIVE To retrospectively analyze the clinical and pathological features of 12 cases of hepatic angiomyolipoma（HAML） to investigate diagnostic and treatment method.METHODS The treatment and follow-up of 12 cases with HAML in the last 11 years were studied combining with literature.RESULTS The clinical signs,symptoms and imaging findings of HAML were various before the operation.10 cases were confirmed by pathology after surgical resection,and then 2 cases were diagnosed by percutaneous liver biopsy without surgery.The period of follow-up lasted 4 months to 6 years and 2 months,showed no recurrences or metastases.CONCLUSION Hepatic angiomyolipoma is extremely rare and preoperative diagnosis is difficult.Surgical resection is safe and effective for the disease.And percutaneous liver biopsy or intraoperative rapid frozen pathological examination is helpful in the diagnosis of hepatic angiomyolipoma.

关 键 词：肝脏 肿瘤 血管平滑肌脂肪瘤 

分 类 号：R735.7[医药卫生—肿瘤]