Solid fibrous tumor of the liver: a case in pregnancy
Solid fibrous tumor of the liver: a case in pregnancy
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DOI：
10.3109/14767058.2011.596958
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发表时间：
2012-05
期刊：
影响因子：
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通讯作者：
R. Morris;D. Mcintosh;T. Helling;J. Martin
中科院分区：
文献类型：
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作者：
R. Morris;D. Mcintosh;T. Helling;J. Martin
背景：实性纤维瘤是一种罕见的肿瘤，好发于胸膜，很少累及肝脏。病例：一名孕13-15周的孕妇出现恶心、呕吐和腹痛。影像学显示一个巨大的，复杂的分隔肿块充满腹部和骨盆。手术时，右肝叶下方可见一个坚硬的小叶肿块。行开腹胆囊切除术和肝段切除术; SFT确证性免疫组织化学染色呈阳性。结论：妊娠期快速增长的腹盆肿块可能是SFT。SFT的诊断和围手术期处理对产科医生提出了多重挑战。
Background: Solid fibrous tumor (SFT) is a rare neoplasm, preferentially involving the pleura, rarely the liver. Case: A primigravida between 13–15 weeks gestation developed nausea, vomiting, and abdominal pain. Imaging revealed a large, complex septated mass filling the abdomen and pelvis. At surgery a firm, lobular mass involved in the inferior aspect of the right liver lobe. Open cholecystectomy and hepatic segmentectomy were performed; confirmatory immunohistochemical staining was positive for SFT. Conclusion: A rapidly growing abdominopelvic mass during pregnancy may be a SFT. The diagnosis and perioperative management of SFT presents multiple challenges to the obstetrician.