Ein operierter Fall von Leber-Myom

Demel, Rudolf

doi:10.1007/bf01892215

Cited by 21 publications

(11 citation statements)

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“…The clinical presentation of primary leiomyoma of the liver is similar to the presentation of other liver neoplasms. The most common clinical symptom in this review is abdominal, epigastric, or right upper quadrant pain which accounts for 42.4% of cases reported [ 1 – 3 , 5 , 11 , 13 , 19 – 21 , 31 – 33 ]. 33.3% of the cases were incidental with one of them an incidental finding at autopsy [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

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Primary Leiomyoma of the Liver: A Review of a Rare Tumour

Omiyale

2014

HPB Surgery

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Context. Primary leiomyoma of the liver is a rare tumour with uncertain pathogenesis with similar presentation with other tumours of the liver. Little is known about its clinical course. Objectives. To review the literature for case reports of primary leiomyoma of the liver. Methods. Extensive literature search was carried out for case reports of primary leiomyoma of the liver. Results. A total of 36 cases of primary leiomyoma of the liver were reviewed. The mean age of presentation is 43 years with slight female sex affectation; females accounted for 55.6% of the cases reported in the literature. The average size of the tumour is 8.7 cm. 34.4% of the cases reviewed were incidental finding with the mean follow-up time of 33 months with most cases reporting no evidence of disease. Conclusions. Primary leiomyoma of the liver is very rare tumour with complex pathogenesis which remains largely unknown. Imaging of the tumour does not allow for a tissue specific diagnosis; hence histological review of the tissue specimen and immunohistochemical stains are imperative for diagnosis. Surgical resection is both diagnostic and curative. The diagnosis of primary leiomyoma of the liver should be considered as a differential in the management of liver tumours.

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Section: Discussionmentioning

confidence: 99%

“…Leiomyoma is a benign smooth muscle neoplasm of mesenchymal origin which commonly occurs in the genitourinary system and the gastrointestinal tract of the body but which rarely occurs in the liver [ 1 , 2 ]. The first case report of primary leiomyoma of the liver was first described in a 42-year-old woman by Demel in 1926 [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Primary Leiomyoma of the Liver: A Review of a Rare Tumour

Omiyale

2014

HPB Surgery

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“…그러나 간에 원발성으로 생 기는 평활근종은 매우 드물다 [1]. 원발성 간 평활근종의 첫 문 헌 보고는 1926년 보고된 42세 여자에게서 발생한 증례다 [2]. 오 늘날까지 전 세계적으로 문헌으로 보고된 원발성 간 평활근종 의 증례는 36예에 불과하다 [3].…”

Section: 서 론unclassified

A Firm Hepatic Mass Cannot Be Penetrated by US-Guided Needle Biopsy

Jang¹,

Kim²,

Sohn³

et al. 2016

Clin Ultrasound

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Primary hepatic leiomyoma (PHL) is a rare benign tumor, with only 36 cases reported in the international literature, and its pathogenesis is not clear. Here we report a rare case of PHL diagnosed with coexisting gastric cancer. An asymptomatic, 57-year-old man without any significant medical history was referred to our hospital because of early gastric cancer and a hepatic mass. His physical examination was unremarkable. The laboratory tests and tumor markers, including alpha fetoprotein, CA 19-9, and carcinoembryonic antigen, were within the normal range. Viral hepatitis serology was negative. Computed tomography revealed the hepatic mass was 33 mm in size in segment II of the liver. He underwent a US-guided needle biopsy, but we could not obtain a biopsy specimen, as the firmness of the liver mass made it impossible to put the needle through into the core. Hence, he underwent a diagnostic laparoscopic wedge resection. The mass was histologically typical for a leiomyoma.

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“…As lesões hepáticas estão cada vez mais sendo diagnosticadas através da realização mais freqüente dos métodos de imagem, mantendo-se ainda difícil de determinar o diagnóstico antes do procedimento cirúrgico em um número pequeno de casos 1,4,5 . A busca do conhecimento de cada tipo histológico e sua apresentação clínica ajuda o cirurgião no manejo deste dilema.…”

Section: Discussão Discussão Discussão Discussão Discussãounclassified

“…No entanto, em algumas situações, permanece difícil de determinar o tipo de doença no pré-operatório 1,2 . Os leiomiomas hepáti-cos são neoplasias extremamente raras, tendo sido relatadas em pacientes jovens com algum tipo de imunossupressão, como SIDA ou pós transplante, ou menos freqüentemente em adultos de meia idade sem doença de base 3 .…”

Section: Introdução Introdução Introdução Introdução Introduçãounclassified