摘要目的 探讨肝血管平滑肌脂肪瘤(hepatic angiomyolipoma,HAML)的临床特点、诊断与外科治疗.方法 回顾性分析中国医学科学院肿瘤医院病理证实的14例肝血管平滑肌脂肪瘤的临床病理资料并进行随访.结果 14例肝血管平滑肌脂肪瘤病人无特异性临床表现,肿瘤均为单发.血清学AFP检查正常,影像学检查无特征性表现.14例均获手术切除,手术疗效好,术后随访无复发.结论 肝血管平滑肌脂肪瘤的部分病例诊断依赖实验室和影像学检查,术前可以作出较准确的诊断,手术治疗既可取得满意疗效,还可验证术前诊断是否正确.

abstractsObjective To explore the clinical features, diagnosis and treatment of hepatic angio-myolipoma (HAML). Methods The clinical data of 14 HAML cases treated in our hospital were ret-rospectively analyzed. Meanwhile, they were followed up. Results Most of the patients were asymp-tomatic and AFP serum test was normal. The preoperative radiography in HA was usually not specif-ic. All the 14 cases underwent resection and had no recurrence after operation. Conclusion The diag-nosis of HAML depends on clinical data, laboratory test and radiography. Definite diagnosis can be made by preoperative laboratory test and radiography in some patients. Surgery is recommended in all cases and can get satisfactory results.