{"title":"A Case of Multiple Nodules of Hepatic Reactive Lymphoid Hyperplasia Suspected to be Metastatic Liver Cancer","authors":"Masaki YAMADA, Kazuma INOUE, Hyoma TERAWAKI, Yusuke SAKURA, Daisuke ITO, Kentaro YASUCHIKA","doi":"10.3919/jjsa.84.633","DOIUrl":null,"url":null,"abstract":"症例は60歳，女性．嘔吐を主訴に当院ERを受診し，腹部CTで下行結腸癌による大腸閉塞を疑う所見を認め，肝臓には複数の低吸収結節があり囊胞が疑われた．大腸閉塞に対し大腸ステントを留置された40日後に腹腔鏡下結腸左半切除術を施行した．術中, 肝S5およびS8表面に2箇所，転移性肝腫瘍を疑う5mm大の白色結節を認めた．EOB-MRIで同部位2箇所のみに転移性肝腫瘍を疑う所見を認め，初回手術から約2カ月後に腹腔鏡下肝部分切除術を施行した．病理組織検査の結果，肝reactive lymphoid hyperplasia（RLH）の診断であった．","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":"41 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3919/jjsa.84.633","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
肝反应性淋巴样增生多发结节疑为转移性肝癌1例
病例六十岁，女性。以呕吐为主要症状在本院ER就诊，腹部CT显示怀疑为下行结肠癌引起的大肠梗阻，肝脏有多个低吸收结节，怀疑为囊胞。对大肠梗阻留置大肠支架40天后施行了腹腔镜结肠左半切除术。术中，在肝S5和S8表面发现2处疑似转移性肝肿瘤的5mm大的白色结节。EOB-MRI发现该部位仅有2处疑似转移性肝肿瘤，在首次手术约2个月后实施了腹腔镜下肝部分切除术。病理组织检查结果，诊断为肝reactive lymphoid hyperplasia (RLH)。
本文章由计算机程序翻译，如有差异，请以英文原文为准。
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