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KMID : 0870420000040020221
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2000 Volume.4 No. 2 p.221 ~ p.225
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Multiple hepatic adenomas in a patient with a history of oral steroid -A case report -
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Yu Hee-Chul
Kim Jong-Hun
Kim Jae-Chun
Moon Woo-Sung
Lee Jeong-Min
Cho Baik-Hwan
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Abstract
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Multiple hepatic adenoma is a rare entity in which characterized by the presence of numerous adenomas within an otherwise normal liver. Although the disease is rare, its important lies in its tendency to produce symptoms such as abdominal pain and its potential for abdominal hemorrhages. However, the prognosis and the evolution of this entity is generally uncertain. We report a case multiple hepatic adenomas, which was proved by pathology, in 24 years old man who has been prescribed long-term oral steroid due to rheumatoid arthritis. He underwent incisional biopsy and mass enucleation of hepatic tumors with 95% alcohol injection. In the case, dissection of the liver showed many other diffuse and smaller nodules. Histologically, tumor was liver cell adenoma without pleomorphism, or mitosis. During the follow-up period of two years, new nodules were found by ultrasonography and magnetic resonance image without developed of serious complications.
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KEYWORD
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Hepatic adenomas, oral steroid, multiple
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