| 作者 |
Yang-Guo Fan, Jen-Hwey Chiu, Gar-Yang Chau, Che-Chuan Loong, Rheun-Chuan Lee, Shyn-Haw Tasy, Chew-Wun Wu, Wing-Yiu Lui |
| 摘要 |
The differentiation between hepatic hemangioma and hepatocellular carcinoma or metastasis has always been a challenging problem. From Jan. 1998 to Dec. 1997, fifteen patients having undergone partial hepatectomy with the liver specimens proved to be hemangioma were retrospectively reviewed. There were nine women and six men with ages ranging from 49 to 75 years old. The tumor size ranged from 1 to 18 cm in diameter. Operative interventions were suggested under the following circumstances: suspected metastasis due to extrahepatic malignancy (n=4), suspected malignancy during the routine survey for the patients with hepatitis carrier or hemangioma (n=4), incidental finding and hepatocellular carcinoma is highly suspected (n=2), intra-lesion hemorrhage with chronic anemia (n=1), fever of unknown origin (n=1), equivocal diagnosis after images studies (n=1), huge with abdominal complaint (n=1) and ancillary hepatic resection to other major operation (n=1). The surgical procedures included extended right lobectomy (n=1), medial segmentectomy (n=1), posterior segmentectomy (n=1), lateral segmentectomy (n=4), subsegmentectomy (n=2), and wedge resections (n=4). One patient (1/15) died of esophageal varices bleeding and one patient had wound infection. Symptoms were relieved in the follow-up periods from 8 months to 11 years.
Surgery is the treatment of choice forpatients with equivocal tumor character, tumor-related symptoms, serum elevation of tumor markers, or increase in tumor size of number. Missing a malignancy should be avoided especially in the high HBV/HCV prevalence area. |
