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目的:分析肝血管平滑肌脂肪瘤的临床以及病理形态。方法:选取我院于2012年6月到2013年4月收治的24例肝血管平滑肌脂肪瘤患者,对患者进行常规对症处理,进行免疫组织化学染色、特殊染色以及HE染色,而后在光学显微镜下对其进行检查,对患者病例进行回顾性分析。结果:所选取的24例患者中,其中22例患者出现腹胀、嗳气等临床病症,其余2例患者临床病症并不明显,经过淀粉酶消化及PAS后,实施PAS染色检查,可见抗淀粉酶消化的PAS阳性物质存在于4例患者的瘤细胞浆内。结论:肝血管平滑肌脂肪瘤临床表现不明显,极易出现误诊,临床诊断该病症需要通过观察患者的病理变化以及检查患者的免疫组化,在临床治疗中,采用手术方法将肝血管平滑肌脂肪瘤切除,其治疗效果显著。
Objective: To analyze the clinical and pathological features of hepatic angiomyolipoma. Methods: Twenty-four patients with hepatic angiomyolipoma who were admitted to our hospital from June 2012 to April 2013 were selected for routine symptomatic treatment. Immunohistochemistry, special staining and HE staining were performed on the patients. Under the light microscope Check it and retrospectively analyze the patient’s case. Results: Of the 24 patients selected, 22 patients had clinical symptoms such as bloating and belching and other clinical symptoms. The clinical symptoms of the remaining two patients were not obvious. After being digested by amylase and PAS, PAS staining was performed to detect anti-amylase digestion Of PAS-positive material present in the cytoplasm of 4 patients. Conclusion: The clinical manifestations of hepatic angiomyolipoma are not obvious, easily misdiagnosed, clinical diagnosis of the disease need to observe the pathological changes in patients and check the patient’s immunohistochemistry in clinical treatment, the surgical treatment of hepatic vascular smooth muscle lipoma Excision, the treatment effect is remarkable.