容易误诊为原发性肝癌的肝脏良性占位性病变(附74例临床病理报告)

Benign tumor-like lesions of liver misinterpreted HCC diagnosis (74 cases reports)

摘要: 目的　通过对容易误诊为肝细胞癌的肝脏良性占位性病变临床病理特征总结分析, 有助提高其诊断率。方法　复阅 74例经过病理诊断证实的肝脏良性病变临床及其病理资料, 并进行相关标志蛋白表达的免疫组化检测。结果　在 74例肝脏良性占位性病变中, 证实肝细胞腺瘤是所有肝脏占位性病变中与肝细胞癌鉴别诊断最为困难的肿瘤。结论　肝脏良性病变手术前往往误诊为肝癌, 核磁共振检查具有一定的特征性, 必要时可作肝脏活检病理检查明确诊断, 为临床治疗提供依据。

Abstract: Objective It s important to make right diagnosis for the benign tumor-like lesions of liver that are easily misinterpreted HCC diagnoses to understand the clinicopathologic features of these diseases. Methods The clinicopathologic information of seventy-four cases of benign tumor-like lesions confirmed by pathological diagnoses was reviewed. Expressions of proteins-associated of lesions were detected by immunohistochemistry. Results In 74 patients with benign tumor-like lesions, hepatocellular adenoma is...