ID 110831
著者
居村, 暁 Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
ミヤケ, コウタロウ Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
イケモト, テツヤ Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
モリネ, ユウジ Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
フジイ, マサヒコ Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
サノ, ノブヤ Department of Pathology, Tokushima University Hospital
島田, 光生 Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
solitary necrotic nodule
liver tumor
資料タイプ
学術雑誌論文
抄録
The solitary necrotic nodule of the liver is an uncommon nonmalignant lesion with an uncertain etiology. The lesion was defined as a nodule with a completely necrotic core and fibrous capsule etc. and without a consistency of viable cells. The characteristic features of this benign lesion on the imaging modalities are similar to the metastatic tumor. In this paper we discuss the case of a rapid-growing solitary necrotic nodule of the liver occurring in a patient with chronic renal failure on hemodialysis. The lesion located on the left median lobe of the liver had rapidly enlarged in diameter in the last seven months. Despite some examinations by imaging modalities to confirm the preoperative diagnosis, we were unable to visually confirm. Several histological examinations using a needle biopsy specimen were performed, but the diagnosis was all necrotic tissue. However, we recommended an extended left hepatic lobectomy for this rapid-growing lesion since cholangiocarcinoma with necrosis could be hardly differentiated. Permanent histology revealed that the lesion was solitary necrotic nodule. We consider that permanent histology of the entire lesion is possibly the only accurate method of diagnosis. Since the solitary necrotic nodule does not indicate malignancy, hepatic resection should be performed.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
53
3-4
開始ページ
325
終了ページ
329
並び順
325
発行日
2006-08
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
病院
医学系