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肝局灶性结节性增生是一种罕见的良性病变,主要发生于育龄女性。由于该病的病因及自然病程尚不明,因而难以对其治疗作出正确的选择。本文复习了22例的治疗经验,以作为确立其治疗方案的基础。病例与方法:22例患者中19例为女性,儿童5例,17例成年患者,年龄不超过42岁(平均33岁)。其中14例患者出现疼痛或肿块,剖腹术中偶然发现3例,腹部检查发现2例,超声检查发现1例,从切除的肝脏纤维板层癌的标本中发现1例,尸检中偶然发现1例。所有病例均经病理证实。
Focal nodular hyperplasia of the liver is a rare benign lesion that occurs primarily in women of childbearing age. Because the cause and the natural course of the disease are still unknown, it is difficult to make the right choice for treatment. This article reviewed the treatment experience of 22 cases as a basis for establishing its treatment plan. Cases and Methods: Twenty-nine of the 22 patients were female, 5 children, 17 adult patients, and no older than 42 years (mean 33 years). Among them, 14 patients had pain or lumps, 3 were accidentally found during laparotomy, 2 were found on abdomen examination, 1 was found on ultrasonography, 1 was found in specimens of excised liver fibrous lamellar carcinoma, and 1 was accidentally found on autopsy. All cases were confirmed by pathology.