Diagnosis and treatment of hepatocellular adenoma
10.3760/cma.j.cn113855-20210220-00104
- VernacularTitle:肝细胞腺瘤的临床特点及诊治
- Author:
Lin XU
1
;
Hong LIU
;
Zehua WU
;
Yufen AN
;
Linlin QU
;
Weiyu HU
;
Zusen WANG
;
Jinzhong PANG
;
Jingyu CAO
Author Information
1. 青岛大学附属医院肝胆胰外科,山东省 266000
- Keywords:
Adenoma,liver cell;
Diagnosis;
Treatment
- From:
Chinese Journal of General Surgery
2021;36(10):746-749
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the diagnosis and treatment of hepatocellular adenoma.Methods:The clinical data of 23 hepatocellular adenoma patients admitted to the Affiliated Hospital of Qingdao University from May 2013 to May 2020 were retrospectively analyzed.Results:Fifteen patients were female, the age ranged from 21 to 60. The maximum tumor diameter was from 2.5 cm to 15 cm.Most patients (15/23) were asymptomatic. There were 20 cases (87%) with single lesion and 3 cases (13%) with multiple lesions. Contrast-enhanced CT and MRI showed enhancement in the arterial phase, and de-enhancement in the portal phase as well as in the delayed phase. All cases underwent tumor resection. Hepatocellular adenoma was confirmed by pathology with partial canceration in one case and intratumoral hemorrhage in two cases. Sixteen cases were misdiagnosed preoperatively, 20 were followed up with the median follow-up time of 36 months. Recurrence was not found.Conclusion:Hepatocellular adenoma is uncommon and often misdiagnosed. Preoperative diagnosis is dependent on MRI.Given the fact of high rate misdiagnosis and a tendency of canceration,resection is recommended.