Benign hepatic tumours

被引:32
作者
Biecker, E
Fischer, HP
Strunk, H
Sauerbruch, T
机构
[1] Univ Klinikum Bonn, Med Klin & Poliklin 1, D-53105 Bonn, Germany
[2] Univ Bern, Inst Klin Pharmakol, CH-3012 Bern, Switzerland
[3] Univ Klinikum Bonn, Inst Pathol, Bonn, Germany
[4] Univ Klinikum Bonn, Radiol Klin, Bonn, Germany
来源
ZEITSCHRIFT FUR GASTROENTEROLOGIE | 2003年 / 41卷 / 02期
关键词
benign hepatic tumours; cavernous haemangioma; hepatocellular adenoma; focal nodular hyperplasia; nodular regenerative hyperplasia; angiomyolipoma; inflammatory pseudotumour; benign haemangioendothelioma; bile duct adenoma; biliary cystadenoma;
D O I
10.1055/s-2003-37316
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Benign hepatic tumours include a broad spectrum of regenerative and true neoplastic processes. Due to advances in imaging procedures like MRI, CT-scan and ultrasound as well as progress in immunohistochemistry, the appropriate diagnosis is made in a high percentage of patients without laparotomy and resection. Most important in clinical practice is the differential diagnosis of focal nodular hyperplasia and hepatocellular adenoma because of the risk of rupture and bleeding in the latter. Cavernous haemangioma, the most common benign hepatic tumour, rarely needs treatment. The diagnosis of nodular regenerative hyperplasia is often missed and patients present with secondary complications and signs of portal hypertension that necessitate treatment. The main problem in angiomyolipoma is to distinguish it from malignant processes which do require treatment. Because of its clinical presentation, inflammatory pseudotumour is also sometimes confused with a malignant tumour. Therapeutic options are drug therapy or surgical resection. Benign haemangioendothelioma of the infant is rare but may cause life-threatening complications. Bile duct adenoma is an incidental finding that is not known to cause any symptoms whereas biliary cystadenoma is often symptomatic and may progress to cystadenocarcinoma and therefore needs resection.
引用
收藏
页码:191 / 200
页数:10
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