肝细胞腺瘤诊断与外科治疗的体会

目的总结肝细胞腺瘤(HCA)诊断与外科治疗的经验与体会。方法回顾性分析2002年1月至2012年12月期间,我院手术治疗13例HCA患者的临床资料。结果术前确诊HCA 4例,误诊肝细胞肝癌3例、肝脏局灶性结节增生2例。全组均行手术治疗,采取半肝、肝叶、联合肝段和局部切除,术后病理均获确诊,其中单发病灶11例,多发病灶2例。术后11例获随访,时间1~5年,l例复发,l例恶变。结论 HCA临床少见,术前容易误诊。手术切除是HCA有效的治疗方式,预后良好。

Clinical experience in diagnosis and surgical treatment of hepatocelluar adenoma

Objective To summarize clinical experience in diagnosis and surgical treatment of hepatocelluar adenoma（HCA）. Methods Thirteen cases of HCA diagnosed in our hospital from January 2002 to December 2012 were analyzed retrospectively. Results Preoperative correct diagnosis was established in only 4 cases. Tentative occupying space-lesions was diagnosis in other 9 cases, including hepatocellular carcinoma in 3 cases, focal nodular hyperplasia in 2 cases and miscellaneous in the remaining 4 cases. Local resection, segmental hepatectomy, hepatic lobectomy and hemihepateetomy were performed according to the size and location of the lesions. All cases were identified ttCA by postoperative pathology, including single lesion in 11 cases and multiple lesions in 2 cases. Postoperatively 11 cases were followed up from 1 to 5 years, revealing recurrence in1 case and malignant transformation in 1 case. Conclusion HCA is uncommon in clinic and essentially benign tumor in liver, of which preoperative misdiagnosis is common. Surgical resection is the most effective treatment for HCA, and the prognosis is favorable.