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肝孤立性坏死结节临床病理研究
引用本文:李冬洁,黄文斌,周晓军,张新华,陆珍凤,马恒辉.肝孤立性坏死结节临床病理研究[J].诊断病理学杂志,2005,12(5):342-344,i0006.
作者姓名:李冬洁  黄文斌  周晓军  张新华  陆珍凤  马恒辉
作者单位:1. 安徽省阜阳市妇幼保健院病理科,236000
2. 南京军区南京总医院,病理科,南京,210002
摘    要:目的研究肝孤立性坏死结节的临床病理学特点和鉴别诊断。方法运用光镜及特殊染色技术,研究2例肝孤立性坏死结节,同时复习相关文献。结果肝孤立性坏死结节中央为凝固性坏死物质,坏死物中未见实质细胞和寄生虫,坏死物质周围为透明变的胶原纤维组织,结节周围的肝细胞基本正常。结论肝孤立性坏死结节是一种罕见的肝非肿瘤性病变,术前诊断非常困难,需与肝的一些局灶性病变鉴别。

关 键 词:  孤立性坏死结节  诊断  鉴别诊断
文章编号:1007-8096(2005)05-0342-03
收稿时间:2005-02-25
修稿时间:2005-02-25

Solitary necrotic nodules of liver: 2 cases report and review of literature
LI Dong-jie, HUANG Wen-bin, ZHOU Xiao-jun, et al,.Solitary necrotic nodules of liver: 2 cases report and review of literature[J].Chinese Journal of Diagnostic Pathology,2005,12(5):342-344,i0006.
Authors:LI Dong-jie  HUANG Wen-bin  ZHOU Xiao-jun    
Affiliation:Department of Pathology, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, China
Abstract:Objective To analyze the clinicopathologic features of solitary necrotic nodules of the liver and its differential diagnosis.Methods Two cases of solitary necrotic nodules of the liver were studied by morphological and special staining.Results The solitary necrotic nodules of the liver were composed of a central necrotic core and a peripheral hyaline fibrotic capsule with inflammatory cells.The central nodules were coagulative necrosis and there were no parenchymal cells and parasitic infection whthin necrosis.Conclusions Solitary necrotic nodules is a rare non-neoplastic lesion of the liver and diffcult to diagnose before operation.The differential diagnosis must be made from other focal lesions in the liver.
Keywords:Liver  Solitary necrotic nodule  Diagnosis  Differential diagnosis
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