PDF(Pubmed)
Abstract：
Adrenal rest tumors are rare collections of aberrantly located adrenocortical tissue. They are most commonly found in the kidneys, and hepatic involvement is rare with few published case reports. When located in the liver, imaging findings are frequently indistinguishable from hepatocellular carcinoma (HCC), but when resected, histologic examination shows adrenocortical tissue. Here, we present a patient with a history of nonalcoholic steatohepatitis with advanced fibrosis who was identified as having HCC by cross-sectional imaging but was found to have a hepatic adrenal rest tumor (HART) after resection. HARTs can share imaging characteristics with HCC, and this alternative diagnosis should be considered, especially for hepatic segment VII lesions.
摘要：
肾上腺静止肿瘤是罕见的异常定位的肾上腺皮质组织集合。它们最常见于肾脏，和肝脏受累是罕见的，很少发表病例报告。当位于肝脏时，影像学检查结果通常与肝细胞癌（HCC）无法区分，但是当切除后，组织学检查显示肾上腺皮质组织。这里,我们介绍了1例有非酒精性脂肪性肝炎伴晚期纤维化病史的患者,通过横断面成像确定为HCC,但在切除后发现有肝肾上腺静止肿瘤(HART).HART可以与HCC共享成像特征，应该考虑这种替代诊断，尤其是肝VII段病变。
