Multiple von Meyenburg complexes mimicking diffuse liver metastases from esophageal squamous cell carcinoma
Multiple von Meyenburg complexes mimicking diffuse liver metastases from esophageal squamous cell carcinoma
摘要
Von Meyenburg complexes are benign liver lesions consisting of adenomatous bile duct proliferates. We present two patients suffering from esophageal cancer accompanied by the occurrence of yon Meyenburg complexes. Preoperative computerized tomography （CT） of the liver had not shown these lesions. In one of the patients, diffuse nodular manifestation was found in both liver lobes, mimicking diffuse hepatic metastases. Intraoperative frozen section revealed the benign nature of the lesions in both cases. The patients underwent esophageal resection without complications. To the best of our knowledge, the coincidence of von Meyenburg complexes and esophageal cancer has never been reported before. This uncommon entity should be taken into consideration as a differential diagnosis of liver lesions in malignancies. It underlines the importance of intraoperative frozen section for liver lesions of unknown origin.
Von Meyenburg 建筑群是由腺瘤组成的良性的肝损害胆汁管增殖。我们在场患食道的癌症的二个病人由 von Meyenburg 建筑群的出现伴随了。肝的外科手术前的计算机化的断层摄影术(CT ) 没显示出这些损害。在病人之一，弥漫的榴状的表明在两片肝脑叶被发现，模仿国王 diffuse 肝的转移。Intraoperative 冰冻切片在两个盒子中揭示了损害的良性的性质。没有复杂并发症，病人经历了食道的切除术。就我们的知识而言， von Meyenburg 建筑群和食道的癌症的巧合以前从来没被报导过。这个不平常的实体应该在恶意作为肝损害的鉴别诊断被考虑。它为未知起源的肝损害加重 intraoperative 冰冻切片的重要性。
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