RESUMO
The authors present their results on the treatment of benign liver tumors. 65 patients were operated upon in the University Hospital in Pil-sen from 2000 until July 2006. Benign liver lesions were rather rare compared to malignant tumours, for which 273 patients were treated within the same period. The most often found benign -lesions were hepatocellular adenoma, focal nodular hyperplasia (FNH) and hemangioma. Sometimes, it was not possible to make a correct diagnosis preoperatively. The surgical procedures used for benign tumours were mostly enucleation and non-anatomic parenchyma-saving resection (55.4 %). Morbidity in this group was 26.5 %, mortality 0 %.
Assuntos
Adenoma de Células Hepáticas/cirurgia , Hiperplasia Nodular Focal do Fígado/cirurgia , Hemangioma/cirurgia , Hepatectomia/métodos , Neoplasias Hepáticas/cirurgia , Adenoma de Células Hepáticas/diagnóstico , Adenoma de Células Hepáticas/patologia , Adolescente , Adulto , Idoso , Cistadenoma/diagnóstico , Cistadenoma/cirurgia , Diagnóstico Diferencial , Diagnóstico por Imagem , Feminino , Hiperplasia Nodular Focal do Fígado/diagnóstico , Hiperplasia Nodular Focal do Fígado/patologia , Hamartoma/diagnóstico , Hamartoma/cirurgia , Hemangioma/diagnóstico , Hemangioma/patologia , Humanos , Neoplasias Hepáticas/diagnóstico , Neoplasias Hepáticas/patologia , Linfangioma/diagnóstico , Linfangioma/cirurgia , Masculino , Pessoa de Meia-Idade , Adulto JovemRESUMO
As opposed to malignant secondary tumors, metastases of the colorectal carcinoma are benign tumors of the liver that are quite rare in the Czech Republic. From the 55 patients operated on since 2000 at our department for benign liver tumors, the most frequent are haemangiomas, focal nodular hyperplasia (FNH) and hepatocelular adenoma. Only 7.3% of them form a different histological type of a tumor than this most frequently occurring trio of tumors. The authors describe three cases of rather rare liver tumors with benign behavior that have the potential of becoming malignant. It concerns mucin producing biliary tumors, which correspond to the pancreatic intraductal papillary mucin tumor, hepatic cystadenoma with ovarian stroma and a liver hamartoma in an adult patient (Ref 13). Full Text (Free, PDF) www.bmj.sk.
Assuntos
Neoplasias Hepáticas/diagnóstico , Adulto , Idoso , Colangite Esclerosante/diagnóstico , Colangite Esclerosante/cirurgia , Cistadenoma/diagnóstico , Cistadenoma/cirurgia , Feminino , Hemangioma Cavernoso/diagnóstico , Hemangioma Cavernoso/cirurgia , Humanos , Neoplasias Hepáticas/cirurgia , Pessoa de Meia-Idade , Ductos Pancreáticos , Neoplasias Pancreáticas/diagnóstico , Neoplasias Pancreáticas/cirurgiaRESUMO
In their report, the authors evaluated in their report a group of patients with benign liver tumors. These patients were treated at the Surgical Department of the Teaching Hospital in Pilsen from 1999 up to 2004. The evaluation of the investigated groups compared of 43 sick patients was based on the prospect of their individual diagnoses, types of performed surgeries, the time period of their therapy and complications, which had occurred in the course of their surgical treatment. In the group of 24 patients with liver haemangioma, the authors recorded 14 patients with focal nodular hyperplasia, 3 patients with hepatocellular adenoma and 2 patients with other types of benign tumors--multilocular cystic lymphangioma of the liver and one hamartoma. Among these patients there was 0% mortality and 6.9% morbidity.
