首页 | 本学科首页   官方微博 | 高级检索  
     


Laparoscopic Findings of the Liver of Adult T cell Leukemia with Hepatic Injury— A Case Report
Authors:Takaharu SADAMOTO  Naoya YOSHIDA  Minoru SHIBATA  Yasukiyo SUMINO  Tadashi OKADA  Genichiro SATO  Yukihisa UENO  Motonobu SUGIMOTO  Toru ABEI  Hiroko NONAKA
Abstract:Abstract: A 54 year- old man was admitted to our hospital because of general fatigue and marked hepato -splenomegaly. Laboratory findings revealed marked leukocytosis including atypical lymphocytosis and abnormalities in the hepatic function tests. A diagnosis of acute stage of adult T-cell leukemia (ATL) was made from his positive serum anti-ATL (HTLV-1). Since the complication of alcoholic liver disease could not be ruled out because of his heavy consumption of alcohol, hepato - splenomegaly and abnormal liver function tests, a laparoscopic examination was performed. The laparoscopic findings of the liver revealed it was yellow / brown in color, and showed swelling of both lobes, granular unevenness and diffuse white markings on the surface. Histological findings of the liver biopsy specimen revealed an enlargement of the portal areas with diffuse infiltration of ATL cells but no evidence of alcoholic liver diseases. It is suggested that the white markings on the liver surface, which showed slight elevation unlike those seen in chronic hepatitis, might reflect an infiltration of ATL cells.
Keywords:adult T-cell leukemia  alcoholic liver disease  laparoscopy  ATL cell
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号