肝脏原发性副神经节瘤1例
Chinese Journal of Diagnostic Pathology（2020）
Abstract
患者自诉于1年前体检发现肝血管瘤,无明显发热,腹痛腹胀,恶心呕吐,心慌胸闷等不适,未予治疗,于2014年3月入院拟手术治疗.既往无特殊病史.CT示肝右后叶圆形低密度强化灶,范围约5.2 cm×4.8 cm,增强早期病灶边缘增强,环绕病灶周围见结节状强化影,延迟扫描强化区逐步向病灶中心移行,肝形态及轮廓正常,胆道未见扩张,脾脏、胰腺及肾上腺未见异常,肝门及腹膜后未见肿大淋巴结(图1).术中探查见腹腔内肝脏颜色质地正常,肿块位于肝脏第8段,大小约6 cm×5 cm,边界清楚,质地软,紧贴下腔静脉,将右半肝完全游离并脱出腹腔,沿肿瘤边缘钝锐结合分离肿瘤,将肿瘤完全切断送病检.
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