{"title":"肝反应性淋巴样增生多发结节疑为转移性肝癌1例","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":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"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\":null,\"pages\":null},\"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}","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}
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