肝细胞腺瘤甚为少见,我院1988年遇见一例巨大肝细胞腺瘤,现报告如下。患者女性,41岁,农民。自述2年前右上腹发现拳头无大痛性包块,1988年3月28日以腹部肿块性质待查住院。检查:右上腹隆起,扪及约20×18 cm肿块,质中等,表面光滑,活动性差,肝肋下4 cm,脾未及,全身浅表淋巴结无肿大,全消化道钡透无殊,AFP阴性,肝功正常,肝扫描无占位性病变。B超示左肝叶明显增大,右肝、胆、胰未见异常。临床诊断:肝左叶肿瘤。同年4月26日行肝左叶肿瘤切除术。术后痊愈出院。病理检查大体观;肝左叶组织为10×7×2 cm大小,表面呈灰褐色,被膜完整。肝左外叶下部附着-25×20×13 cm肿块,重2280g。肿块表面光滑,包膜完整,略呈 Hepatocellular adenomas are rare. In our hospital in 1988, we encountered a giant hepatocellular adenoma. The report is as follows. Female patient, 41 years old, farmer. The self-reported right upper quadrant two years ago found no painful masses on the fist and was hospitalized on the nature of the abdominal mass on March 28, 1988. Examination: Uplift of the right upper quadrant, orbital mass of about 20 × 18 cm mass, moderate quality, smooth surface, poor mobility, 4 cm under the liver, no spleen, no enlargement of the superficial lymph nodes, no dialysis of the entire digestive tract, AFP was negative, liver function was normal, and there was no space-occupying lesion in the liver scan. B-ultrasound showed a significant increase in the left hepatic lobe, and no abnormalities in the right liver, gall bladder, and pancreas. Clinical diagnosis: Left hepatic lobe tumor. On the 26th of the same year, the left hepatectomy was performed. He was discharged after surgery. Pathological examination generally view; liver left lobe tissue size of 10 × 7 × 2 cm, the surface was gray-brown, the capsule intact. The lower left hepatic lobe attached a -25 x 20 x 13 cm mass and weighed 2280 g. The tumor surface is smooth and the capsule is complete.