肝原发性纤维肉瘤误诊为肝脓肿1例报告

朱刘洋; 侯建存; 杨龙; 童文; 张雅敏

doi:10.3969/j.issn.1001-5256.2021.07.037

肝原发性纤维肉瘤误诊为肝脓肿1例报告

DOI: 10.3969/j.issn.1001-5256.2021.07.037

1.
天津医科大学一中心临床学院，天津 300070
2.
天津市第一中心医院肝胆外科，天津 300192

基金项目:

天津市科技计划项目 (19ZXDBSY00010)

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：朱刘洋负责资料分析，查阅文献，撰写论文；杨龙、侯建存负责收集数据，修改论文；童文负责收集分析数据；张雅敏负责拟定写作思路，指导撰写文章并最后定稿。

详细信息

通信作者:
侯建存，houjc@nankai.edu.cn

中图分类号: R735.7
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- 被引次数: 0
出版历程
- 收稿日期: 2020-11-19
- 录用日期: 2020-12-22
- 出版日期: 2021-07-20

Primary fibrosarcoma of the liver misdiagnosed as hepatic abscess: A case report

1.
The First Central Clinical College of Tianjin Medical University, Tianjin 300070, China
2.
Department of Hepatobiliary Surgery, Tianjin First Central Hospital, Tianjin 300192, China

Research funding:

Science and Technology Planning Projects of Tianjin (19ZXDBSY00010)

摘要

- 肝肿瘤 /
- 纤维肉瘤 /
- 肝脓肿 /
- 误诊
- Liver Neoplasms /
- Fibrosarcoma /
- Liver Abscess /
- Diagnostic Errors

HTML全文

图 1 术前增强CT检查结果

注：a, 平扫可见肝右叶大片低密度影，大小约13 cm×6 cm，部分突出至右侧膈下；b, 动脉期病变周围轻度不均匀强化，其内可见不规则更低密度区；c, 静脉期正常肝实质强化，病变区域为相对低密度；d, 延迟期病变持续渐进性强化，向中心填充。

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图 2 肝脏三维重建图像

注：绿色部分为保留肝脏，体积为582.99 cm³，箭头示尾状叶肿物。

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图 3 大体标本

注：a，肝右叶肿物；b，膈肌肿物。

下载: 全尺寸图片幻灯片

图 4 术后病理结果

注：a，HE染色可见梭形瘤细胞呈束状交错排列，细胞核深染，可见分裂像(×100)；b，免疫组化结果Vimentin阳性(×100)。

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参考文献(13)

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