Dissection of a Giant Hepatic PEComa: A Case Report
نویسندگان
چکیده
症例は48歳女性．生理不順を主訴に当院婦人科受診，肝腫瘍を指摘された．入院時身体所見は腹部に腫瘤を触知するも圧痛なし．HBs-Ag陰性，HCV-Ab陰性で，腫瘍マーカーはCA19-9のみ軽度上昇していた．腹部CT検査では肝外側区域に境界明瞭な14cm大の単発性腫瘍を認めた．内部は多血性で，不均一に造影され，複数の発達した肝静脈にドレナージされていた．消化管には明らかな悪性所見は認めなかった．以上より，肝血管筋脂肪腫（angiomyolipoma：AML）を最も疑ったが，悪性腫瘍が否定できないことと破裂の可能性を考慮し肝左葉切除術を施行した．術後の病理組織学所見ならびに免疫組織化学所見よりperivascular epithelioid cell tumor（PEComa）と診断した．肝PEComaは稀な腫瘍であり，その悪性度評価，治療法には現状では一定の見解はない．文献的考察を加えて報告する．
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ژورنال
عنوان ژورنال: Nihon Gekakei Rengo Gakkaishi (journal of Japanese College of Surgeons)
سال: 2022
ISSN: ['0385-7883', '1882-9112', '1883-8650']
DOI: https://doi.org/10.4030/jjcs.47.35