【摘要】 目的　探讨肝脏瘤样病变的临床与病理特征 ,指导临床诊治。方法　回顾性分析本院 1991年 5月至 2 0 0 0年 5月经手术和病理学证实的 11例肝脏瘤样病变的临床、影像、手术及病理学资料。结果　概括本病具有以下特点 :患者多为男性(9/11) ,发病年龄较轻 ,平均 38.5岁 ,血清 AFP一般正常 ,18%有肝炎感染证据。彩色超声和 CT均提示肝脏占位病变。病理形态学呈良性改变 ,多数无肝硬化背景。结论　肝脏瘤样病变临床主要应用于肝脏恶性肿瘤相鉴别 ,如能在手术前获明确诊断可密切随访外 ,均应积极手术切除更多还原

【Abstract】 Objective To investigate the clinicopathologic features of tumorlike lesions of the liver,and directing clinical management.Methods To analyse retrospectively the clinical,imaging,operative and pathological materials in patients with tumorlike lescons of the liver by operation and pathology during May 1991 to May 2000 in our hospital.Results The characteristics of the lesion are as followes:81.8% of the patients with tumorlike lesion were males;the patients were younger,in average age of 38.5 years.Alpha fetprotein(AFP) level was normal.Hepatitis B/C was negative in 82%(9/11) of patients.A lesion of the liver was found by colour Doppler ultrasound and CT.The pathologic morphogensis demonstrated benign changes without cirrhosis background. Conclusion Tumorlike lesions of the liver ought to be distinguished from malignant tumors of the liver.Close observation should be recommended for asymptomatic patients with unequivocal diagnosis.However,for those with equivocal diagnosis or with symptoms or with lesion enlargment,surgical resection should be performed.更多还原