Abstract：Objective To investigate the clinical diagnostics features of fibrolameller hepatocellular carcinoma (FL-HCC).Methods Ultrasonographic characteristics of fibrolameller hepatocellular carcinoma (FL-HCC) that confirmed by surgery and pathology in the past.Results FL-HCC is a special type of hepatocellular carcinoma, tumor is large when it is found. Ultrasonographic performance of the tumor is circular, Isochoric, rich blood except low echo inside. Contrast-enhanced ultrasound: 11 s tumors and the imaging process was not found in the area of low echo. the biggest diameter of the mass was 8 cm, round, false coated, star silver fiber tissue and brown necrotic areas.The tumors cells larger polygon, eosinophilic cytoplasm and arranged a funicular, tumor within the fiber composition rich. ConclusionsCompared with ordinary hepatocellular carcinoma, FL-HCC was incidence, low degree of malignant and well prognosis;Ultrasound is noninvasive and convenient providing imaging basis for clinical preoperative diagnosis of the disease.
[1]Juan Rosai.著. 回中允.译.阿克曼外科病理学[M].9版.北京:北京大学医学出版社.2006:1001-1002. [2]EI-Serag HB. Daviala JA. Is fibrolamellar carcinoma different from hepatocellar carcinoma? A US population-based study [J].Hepatolagy,2004,39(3):798-803. [3]Lchikawa T,Federle MP,Grazioli L,et al. Fibrolamellar hepatocellular caicinoma: Imaging and pathologic findings 31 recent cases [J].Radiology, 1999,213(2):352 -361. [4]张韶君,朱惠娟,李欣,等.2种腹部罕见肿瘤致生长发育障碍-附8例分析[J].中国医疗前沿,2007,1(3):25-26. [5]Agarwal VR, Takayama K, van Wyk JJ, et, al. Molecular basis of severe gynecomastia associated with aromatase expression in a fibrolamellar hepatocellular carcinoma[J].J Clin Endocrinol Metab, 1998,83(5):1979-1800. [6]龙卫国,吴建农.纤维板层型肝细胞癌的临床及病理研究进展[J].临床与实验病理学杂志,2011,27(7):751-753. [7]王成林.肝脏少见类型癌病理、CT和MRI诊断[J].中国CT和MRI杂志,2006,4(1):48-51. [8]顾成章,黄润生,吴秀花.纤维板层型肝细胞癌超声表现一例[J].中华医学超声杂志(电子版),2011,8(1):225-228. [9]王玮,李岩军,陈东风,等.纤维板层型肝细胞癌的超声诊断价值[J].中华超声影像学杂志,2000,9(4):213-215. [10]马慧,于乐军,马春荣.术后存活23年纤维板层型肝细胞癌一例报道[J].中国肿瘤临床与康复,2001,8(4):119.
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