Paraganglioma of the liver in 1 case report.docVIP

 PAGE \* MERGEFORMAT 5 Paraganglioma of the liver in 1 case report Of: Li Jian Cheng Yin Ying Jing Cao Dai Rong Li Yinguan [Keywords:] liver; paraganglioma Case Information Male patient, aged 66, with “On examination, the left liver lesions more than 10 days” admission, examination, ALT 18U / L, AST 19U / L, AFP 0.746ng/ml, CEA 2.92 ng / ml, hepatitis B HBsAb (+, Anti- HBc (+, abdominal B-ultrasound, left substantial space-occupying lesions of liver, abdominal viscera than exploration and was not abnormal echo around the great vessels without retroperitoneal exploration and significantly abnormal echo and abnormal blood flow signals, the Court CT scan + enhanced display, see the left lateral lobe of liver round low density for a class, the boundary is still clear, the range of about 6.2cm × 7.1cm, density due to both, unenhanced CT is 44-53Hu, the value of arterial phase CT for the 50-56Hu, pushed by the hepatic artery, portal phase enhancement uneven, CT is 81-104Hu, parenchymal phase CT value of 77-96Hu, the original arterial phase, portal phase enhancement is not significant strengthening of regional delay 5 minute scan, CT is 71-95Hu, with clear boundaries surrounding normal liver parenchyma, showing ring-like enhancement capsule, no expansion of extrahepatic bile duct, portal trunk and branches no negative impact, no significant intra-abdominal organs over abnormal density shadow, retroperitoneal lymph nodes showed no abnormal shadow, no ascites. clinically diagnosed: left liver, in parallel, “the left liver resection” liver surgery see the color red, smooth surface, left lateral lobe of liver reach under a mass, about 7.5cm × 6.5cm × 6.0cm, hard, border clearance, I did not hit outside the liver and liver tumor, gross specimen see, tumor color gray, a complete capsule. Microscopic examination showed tumor cells into sheets, nests, cell body into a polygon, round, rich in cytoplasm, including basophils, eosinophils fine particles, nuclear round