【摘要】目的探討肝血管平滑肌脂肪瘤的臨床病理特點、診斷及鑒別診斷。
方法對3例肝血管平滑肌脂肪瘤患者有關病理檢查結果進行回顧性分析。
結果腫瘤位于肝右葉2例，肝左葉1例。腫瘤直徑為2～10 cm，平均6.2 cm。3例腫瘤內均見平滑肌、脂肪、畸形厚壁血管，但未見髓外造血灶。對黑色素瘤（HMB45）、結合蛋白（desmin)及肌動蛋白（actin)檢查均呈陽性反應。術后隨訪6～36個月，未見腫瘤復發。
結論肝血管平滑肌脂肪瘤由3種成分組成，病理形態變化多樣，必須與多種肝腫瘤相鑒別。平滑肌細胞HMB45表達呈強陽性反應是診斷肝血管平滑肌脂肪瘤較可靠的依據。
Citation：
馬云海,李健生 陸桂君. Clinicopathological Analysis of Hepatic Angiomyolipoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(2): 179-180. doi:
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- 2. Hoffman AL,Emre S,Verham RP,et al.Hepatic angiomyolipoma:two cases reports of caudatebased lesions and review of the literature [Ｊ]. Liver Transpl Surg, 1997； 3(1)46.
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