【摘要】目的探讨肝血管平滑肌脂肪瘤的临床病理特点、诊断及鉴别诊断。
方法对3例肝血管平滑肌脂肪瘤患者有关病理检查结果进行回顾性分析。
结果肿瘤位于肝右叶2例，肝左叶1例。肿瘤直径为2～10 cm，平均6.2 cm。3例肿瘤内均见平滑肌、脂肪、畸形厚壁血管，但未见髓外造血灶。对黑色素瘤（HMB45）、结合蛋白（desmin)及肌动蛋白（actin)检查均呈阳性反应。术后随访6～36个月，未见肿瘤复发。
结论肝血管平滑肌脂肪瘤由3种成分组成，病理形态变化多样，必须与多种肝肿瘤相鉴别。平滑肌细胞HMB45表达呈强阳性反应是诊断肝血管平滑肌脂肪瘤较可靠的依据。
Citation：
马云海,李健生 陆桂君. Clinicopathological Analysis of Hepatic Angiomyolipoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(2): 179-180. doi:
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- 2. Hoffman AL,Emre S,Verham RP,et al.Hepatic angiomyolipoma:two cases reports of caudatebased lesions and review of the literature [Ｊ]. Liver Transpl Surg, 1997； 3(1)46.
- 3. 张丽萍，吕翔，黄志勇，等. 肝血管平滑肌脂肪瘤3例临床病理分析 [Ｊ]. 诊断病理学杂志， 2001； 48(2)82.
- 4. Guidi G,Catalano O,Rotondo A. Spontantous ruptllre of a hepatic angiomyolipoma;CT findings and Literature review [Ｊ]. Eur Radiol, 1997； 7(2)3335.
