共查询到17条相似文献,搜索用时 62 毫秒
1.
病人,女,10岁.2008年7月10日无明显诱因出现右上腹疼痛,持续数小时后稍缓解.于当地医院就诊,CT检查显示肝右叶巨大囊样低密度影,内见两个液平,液平后部密度略高. 相似文献
2.
病人,女,10岁.2008年7月10日无明显诱因出现右上腹疼痛,持续数小时后稍缓解.于当地医院就诊,CT检查显示肝右叶巨大囊样低密度影,内见两个液平,液平后部密度略高. 相似文献
3.
正病例患者,女,23岁,因"发现肝占位2个月余,右侧腹痛20天"入院。呈阵发性胀痛,变换体位及进食后加剧,无黄疸,查体腹膨隆,肝脏肿大,右肋下缘10 cm,质韧无压痛,肝区无叩痛,化验肿瘤标记物无异常。胸片示:右膈抬高,膈下病变;腹部B超提示肝右叶见一个大小12 cm×12 cm实质性低回声肿块,边界清楚、类圆形、周边见低回声晕、内部回声欠均匀;CDFI:肿块内血流丰富;诊断肝实质性占位病变,考虑 相似文献
4.
1 临床资料
患者男,16岁.因无明显诱因出现上腹部不适,自觉肝区硬块2个月,腹部CT检查示肝右叶巨大占位性病变(图1),于2011年1月26日收入我院.患者食欲减退,伴恶心、呕吐,体质量下降约5 kg,肝区无明显肿胀、疼痛.体格检查:体温36.8℃,脉搏86次/min,血压156/72mmHg(1 mmHg=0.133 kPa).无皮肤、巩膜黄染,无肝掌、蜘蛛痣.右上腹明显膨隆,未见肠型及蠕动波,无腹壁静脉曲张,肝脏于剑突下约3 cm可触及,有压痛,脾脏、胆囊未触及. 相似文献
5.
肝脏未分化胚胎肉瘤一例 总被引:4,自引:1,他引:3
肝脏未分化肉瘤,又称胚胎肉瘤(undifferentiated embryonal sarcoma of liver,USL),临床少见。随着影像诊断技术及肝脏外科的迅速发展,此病的发现可能会有增加。作者就经治的1例成人USL,并复习文献加以讨论,以提高对本病的诊治。 相似文献
6.
1 病例介绍
患者男,67岁,因"查体发现右上腹部包块3月余"入院.入院查体:右上腹可触及一质硬肿块,大小约10 cm×8 cm,活动度差.实验室检查:前白蛋白6.5 (17~40)mg/dL,白蛋白27 (40~55)g/L,红细胞3.74×1012/L,血清唾液酸101.10 mg/dL,其他血检包括甲胎蛋白、癌胚... 相似文献
7.
肝脏未分化胚胎性肉瘤(undifferentiated embryonal sarcoma of the liver,UESL)是发生于肝脏的高度恶性间叶源性肿瘤,常累及儿童及青少年,偶发于成人。UESL发病机制未知,发病隐匿,术前确诊率低且术后易复发,预后差。UESL特异性诊断标志物、分子生物学特征等尚待研究,主要依靠病理诊断进行确诊。手术、化疗和放疗的多模式治疗可显著改善UESL患者的预后。肝移植治疗也可以作为部分UESL患者的一种治疗手段。本综述拟从UESL的临床症状、组织病理学特点、发病机制、鉴别诊断、治疗及预后等方面进行介绍。 相似文献
8.
9.
肝脏未分化胚胎性肉瘤的螺旋CT表现 总被引:8,自引:1,他引:7
肝脏未分化胚胎性肉瘤(undifferentiated embryonal sarcoma,UES)少见,有关本病的影像学报道十分有限,且CT检查多为普通增强扫描,难以准确的反映病灶的强化特征。笔者总结6例UES病人的资料,结合文献分析、总结其螺旋CT表现特征,探讨其诊断和鉴别诊断价值。[第一段] 相似文献
10.
11.
12.
Pachera S Nishio H Takahashi Y Yokoyama Y Oda K Ebata T Igami T Nagino M 《Journal of Hepato-Biliary-Pancreatic Surgery》2008,15(5):536-544
Undifferentiated embryonal sarcoma (UES) of the liver was first identified as an independent clinicopathologic type of sarcoma in 1978. It is an uncommon hepatic tumor, of mesenchymal origin, usually observed in children, and cases in adults are rare: to our best knowledge, reports of only 51 cases have been published in the past 50 years. We present a case of UES of the liver in a previously healthy 22 year-old woman, admitted to our hospital due to a palpable mass in the right upper abdomen. On admission, laboratory studies showed mildly elevated aspartate aminotransferase, alkaline phosphatase, and gamma-GPT. Hepatitis and tumor markers were negative. Ultrasonography (US), computed tomography (CT), and magnetic resonance imaging (MRI) showed a large mass involving the right lobe and the medial segment of the liver, with compression of the bile duct. Right trisectionectomy with bile duct resection and reconstruction was performed. Microscopically, the tumor was composed of pleomorphic spindle cells in a myxoid stroma with focal staining of S-100 by immunohistochemistry. The histologic diagnosis was UES. Adjuvant therapy with vincristine, actinomycin-D, and cyclophosphamide was performed, and at 14 months of follow-up, the patient is alive without any evidence of recurrence. The clinical and histopathological features, as well as the therapeutic choices for adult UES, are described for this patient and in the literature of the past 50 years. 相似文献
13.
14.
目的 探讨前列腺肉瘤的临床特点、诊断及治疗方法.方法 对本院收治的1例前列腺肉瘤病例结合文献进行分析.结果 病检结果提示前列腺肉瘤.结论 前列腺肉瘤为进展快、恶性度高,预后差的肿瘤,需借助病理表现和免疫组化确诊,临床上根据具体病例行个体化治疗. 相似文献
15.
16.
17.
Poorly differentiated sarcoma of the prostate causing obstructive acute renal failure: A case report
Hideki Mukouyama Kimio Sugaya Yoshihide Ogawa Yuzo Koyama Tadashi Hatano and Takayoshi Toda 《International journal of urology》1999,6(12):615-619
A 12-year-old boy presented to the Naha Municipal Hospital complaining of back pain. After intravenous pyelography, computed tomography, magnetic resonance imaging, ultrasonography and biopsy, he was suspected to have sarcoma of the prostate and was referred to the University of the Ryukyus Hospital. Acute renal failure of the post renal type was evident, accompanied by minimal hydronephrosis. Emergency hemodialysis and right ureterostomy were performed, as was a transurethral prostate biopsy. The specimen showed a poorly differentiated sarcoma not otherwise classifiable. After recovery from surgery, chemotherapy was attempted over 2 months, but the patient died of tumor 250 days after admission. 相似文献