男性的焦点结节性增生:一个系统的审查
Adele Gudynaite1, Ieva Tveragaite1, Povilas Ignatavicius2
1Faculty of Medicine, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
概括
焦点结节性增生 (FNH) 在男性中很少见,经常模仿癌症并导致不必要的手术. 本次审查强调了诊断方面的挑战,以及对于男性FNH病例需要更好的非侵入性工具的需求.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 焦点结节性增生 (FNH) 是一种常见的良性肝脏瘤,主要影响女性,并且经常与口服避孕药的使用有关.
- 男性的FNH很少见,并且可能被误诊为恶性肝病变,这给诊断和管理带来了挑战.
研究的目的:
- 系统地审查成年男性患者的焦点结节性增生 (FNH) 的临床表现,诊断困难和治疗策略.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 在PubMed,Web of Science和ScienceDirect进行了搜索,截至2024年7月30日.
- 数据提取和质量评估是由多名审查员使用纽卡斯尔-太华尺度进行的.
主要成果:
- 对涉及38名男性患者的20项研究的分析显示,经常偶然发现FNH.
- 大多数患者无症状或有非特异性症状;成像经常显示中央星状痕.
- 由于诊断不确定性,在25名患者中进行了手术切除,而在11名患者中进行了观察.
结论:
- 男性的焦点结节性增生不常见,由于与恶性瘤相似,因此难以诊断.
- 即使在无症状个体中,外科干预的高率也强调了改善非侵入性诊断方法的急需.
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