弥漫性腹膜肝样腺癌一例

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摘要：肝样腺癌是一种罕见的特殊类型腺癌，在组织病理学上类似肝细胞癌，大多数病例发生于胃，临床和影像学表现缺乏特异性，容易造成漏诊和误诊，而腹膜肝样腺癌更为罕见。本文报道1例原发于腹膜、临床表现为腹膜弥漫性增厚的肝样腺癌病例，旨在为临床诊断及治疗提供参考。

关键词：腹膜肿瘤；肝样腺癌；弥漫性

中图分类号： R446  文献标识码： B  文章编号：1000-503X（2024）01-0143-04

DOI：10.3881/j.issn.1000-503X.15643

Diffuse Hepatoid Adenocarcinoma in the Peritoneal Cavity：Report of One Case

ZHANG Wuxi1，YAN Xu2，WANG Nanya3，DONG Dong1

1Department of Radiology，2Department of Pathology，3Tumor Center，The First Hospital of Jilin University，Changchun 130012，China

Corresponding author：DONG Dong  Tel：0431-88783476，E-mail：dong_dong@jlu.edu.cn

ABSTRACT：Hepatoid adenocarcinoma is a rare and unique type of adenocarcinoma，resembling hepatocellular carcinoma in histopathology.Most cases occur in the stomach，lacking specific clinical and imaging manifestations，which leads to high rates of missed diagnosis and misdiagnosis.Hepatoid adenocarcinoma in the peritoneal cavity is even rarer.This article reports a case of hepatoid adenocarcinoma with the manifestation of diffuse peritoneal thickening，aiming to provide reference for clinical diagnosis and treatment.

Key words：peritoneal tumor；hepatoid adenocarcinoma；diffuse

Acta Acad Med Sin，2024，46（1）：143-146

肝样腺癌是一种罕见的特殊类型腺癌，在组织病理学上类似肝细胞癌，大多数病例原发于胃，偶可见胆囊、子宫、肺脏、膀胱、食管、结肠等器官。（剩余5720字）