肝組織異位至腎上腺1例報告并文獻復(fù)習(xí)

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Liver tissue ectopic to adrenal gland：a case report and review of the literature

HU Jinding QIN Dongrui DENG Naigang ZHAI Liran WANG Hanbo

（1.Department of Urology，2.Department of Pathology，Liaocheng Second Hospital Affiliated to Shandong First Medical University，Liaocheng 252600；3.Department of Urology，Shandong Provincial Hospital Affiliated to Shandong First Medical University，Jinan 250021，China）ABSTRACT：ObjectiveTo explore the clinical characteristics，diagnosis and treatment of benign liver tissue ectopia in adrenal tumor，so as to improve the understanding of this disease.MethodsWe reported the data of a rare patient with ectopic liver tissue to adrenal gland admitted in the Department of Urology，Liaocheng Second Hospital Affiliated to Shandong First Medical University and discussed it in conjunction with literature.ResultsThe patient was a 32-year-old male who sought medical attention for more than half a year due to elevated blood pressure and detection of a tumor in the right adrenal gland.Ultrasound and CT examinations showed a tumor in the right adrenal gland，suggesting myeloid lipoma.Laparoscopic right adrenalectomy was performed，and the postoperative pathology showed benign liver tissue ectopia in adrenal tumor，hepatocyte proliferation，steatosis，and slight lymphocyte infiltration.Immunohistochemistry suggested Hep-1 （+）.During the follow-up of 12 months，the patient recovered well with no complications.Imaging examinations showed no signs of recurrence.ConclusionBenign liver tissue ectopia in adrenal tumor is very rare and is difficult to diagnose preoperatively.Diagnosis is mainly based on pathology，and surgical resection is usually chosen.

KEY WORDS：adrenal tumor； liver tissue； ectopic live摘要：目的探討肝組織異位至腎上腺的臨床特點及診治方法，提高臨床上對該疾病的認識。（剩余5483字）