肝脏中介细胞新生体的肝脏
1Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Surgical pathology clinics
|August 3, 2023
概括
在活检上诊断肝细胞间瘤是具有挑战性的. 本综述涵盖初级肝瘤,血管瘤,其他初级肝瘤和转移性癌症,有助于准确诊断.
科学领域:
- 肝炎病理学 肝炎病理学
- 在瘤学瘤学.
- 诊断病理学的诊断病理学
背景情况:
- 肝脏的介质细胞瘤存在重大诊断挑战,特别是当在核心针活检中遇到时.
- 从转移性疾病的原发性肝细胞间瘤的准确区分对于患者的管理至关重要.
研究的目的:
- 为提供肝脏特异性介质瘤的最新概述.
- 讨论各种血管瘤和其他主要肝脏瘤类型.
- 为了突出诊断转移性肉瘤和其他模仿性肝脏的挑战.
主要方法:
- 审查最近的文献和诊断更新关于肝脏介质细胞瘤.
- 基于起源的瘤分类 (主要肝,血管,其他主要,转移性).
- 讨论诊断陷和差异化的关键特征.
主要成果:
- 详细讨论原发性肝脏特异性介质细胞瘤:介质细胞瘤,未分化胚胎肉瘤,化嵌套的树突-上皮细胞瘤.
- 肝血管瘤的概述:解剖性血管瘤,肝小血管新生瘤,上皮状血管内皮瘤,血管肉瘤.
- 覆盖其他原发性肝脏瘤 (PEComa/angiomyolipoma,炎症性伪瘤类毛囊性树突细胞肉瘤,EBV相关的光滑肌瘤,炎症性肌纤维细胞瘤,恶性狂犬病瘤) 和转移性疾病.
结论:
- 准确诊断肝细胞间瘤需要意识到实体的广泛范围.
- 从转移性病变区分初级肝脏瘤和理解模仿是有效的病人护理的必要条件.
- 本综述是对挑战性肝脏瘤的最新更新和诊断考虑的指南.
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