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原发性肝脏肉瘤极为少见,文献上报道甚少。肝脏平滑肌肉瘤更属罕见病,故将我院收治一例报告如下。患者男,44岁。腹胀三个月,肝区胀痛十五天,疼痛呈持续性,无放射痛,消瘦,无黄染。锁骨中线右肋下2cm,剑突下6cm触及肝脏下缘,质软,边缘整齐,压痛(+)。腹部移动性浊音(-)。既往无肝病史。CT检查见肝右叶有一圆形占位,直径为5.61CmCT值为8～20Hu,边缘不清。其周围可见散在小圆形低密度区,大小为2.8cm直径,CT值33Hu。CT诊断为肝内多发性结节性占位,肝癌可能性大。肝脏B超提示肝内占位性病变。AFP定量为3.5ng/ml。肝功能检查:碘反应(一),TTT4u,ZnTT6u,SGPT4u,HBsAg(一)。术
Primary liver sarcoma is extremely rare and rarely reported in the literature. Liver leiomyosarcoma is a rare disease. Therefore, one case reported in our hospital is as follows. Male patient, 44 years old. Abdominal distension for three months, liver pain for fifteen days, pain was persistent, no radiation pain, weight loss, no yellow stain. 2 cm below the right rib cage in the midline of the clavicle, 6 cm below the xiphoid process touches the lower edge of the liver, and is soft, with neat edges and tenderness (+). Abdominal movement dullness (-). No previous history of liver disease. CT examination showed that the right hepatic lobe had a round space occupying a 5.61 cm CT diameter of 8 to 20 Hu with unclear edges. Scattered in a small round low density area, the size is 2.8cm in diameter, CT value 33Hu. The diagnosis of CT is intrahepatic multiple nodular space occupation, and the possibility of liver cancer is large. Liver B ultrasound prompted intrahepatic space-occupying lesions. AFP quantification was 3.5 ng/ml. Liver function tests: iodine response (I), TTT4u, ZnTT6u, SGPT4u, HBsAg (I). Surgery