肝脏血管平滑肌脂肪瘤的诊断与治疗八例报告

目的 为提高对肝脏血管平滑肌脂肪瘤（angiomyolipoma,AML)的认识，作出正确诊断和治疗。方法 回顾分析8例肝AML的临床表现、影像学表现、病理学检查及外科治疗。结果 8例中术前做出正确诊断者仅1例，其中4例误诊为恶性肿瘤，8例均获得手术切除，术后恢复良好。结论 肝AML有其临床特点，CT或MRI亦具特异性。目前AML在术前常难做出正确诊断，与发病少、缺乏认识及影像学表现多样性有关。该病手术治疗效果好。

Diagnosis and treatment of hepatic angiomyolipoma: report of 8 cases

Objective To improve the diagnosis and treatment of hepatic angiomyolipoma. Methods Retrospective analysis was made on 8 cases of hepatic angiomyolipoma in terms of clinical findings,image,pathologic examination and surgical treatment.Results Correct preoperative disgnosis was made in only 1 case, 4 were misdiagnosed as malignancy. All 8 cases underwent hepatectomy with an uneventful recovery and without recurrence at follow up.Conclusions Hepatic angiomyolipoma is characteristic of clinical as well as image features, although it is often difficult to make correct diagnosis before operation owing to low incidence and variable imaging appearances.