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目的 为提高肝脏少见的良性肿瘤的诊治水平。方法 分析 1990～ 1999年经病理证实的肝脏少见的原发性良性肿瘤 11例 (肝腺瘤 8例 ,肝炎性假性瘤 1例 ,肝脂肪瘤 1例 ,肝纤维瘤 1例 ) ,结合文献对该类肿瘤的临床特点和诊断治疗进行探讨。结果 肝脏少见良性肿瘤临床表现无特异性 ,术前易误漏诊。本组 11例病理检查前均误诊为肝癌。结论 B超引导下多径路肝穿刺活检和剖腹探查可确诊肝脏少见良性肿瘤 ,手术是治疗肝脏原发性良性肿瘤的最佳措施。
Objective To improve the diagnosis and treatment of benign tumors that are rare in the liver. Methods We analyzed 11 cases of primary benign tumors that were rarely diagnosed in the liver from 1990 to 1999 (8 liver adenomas, 1 pseudohepatitis, 1 lipoma, and 1 liver fibroid). The clinical features and diagnosis and treatment of this type of tumor are discussed. Results The clinical manifestations of benign tumors were rare in the liver and were misdiagnosed before surgery. Before this group of 11 cases of pathological examination were misdiagnosed as liver cancer. Conclusion B-ultrasound-guided multi-path liver biopsy and laparotomy can be used to diagnose benign liver tumors. Surgery is the best treatment for primary benign liver tumors.