| Management of liver adenomatosis: results with a conservative surgical approach. | |
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MedLine Citation:
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PMID: 9724476 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Liver adenomatosis is defined by the presence of multiple hepatic adenomas (more than three lesions). The natural history and treatment of liver adenomatosis are not yet well defined. The Mayo Clinic (Rochester, MN) experience with liver adenomatosis in the past 11 years was reviewed and a rational treatment approach is presented. Records from patients with liver adenomatosis and hepatic adenoma seen at the Mayo Clinic from January 1986 to June 1997 were reviewed. Estrogen- and progesterone-receptor status was assessed by immunohistochemistry. Eight women with liver adenomatosis were identified. All patients had undergone surgical treatment. Abdominal pain was the presenting symptom in 87.5% of the patients with adenomatosis and in 42.1% of the patients with hepatic adenoma. Tumor bleeding was present in 62.5% of the patients with adenomatosis and in 26.3% of the patients with hepatic adenomas. Bleeding occurred predominantly in lesions greater than 4 cm. All patients with liver adenomatosis reported improvement of symptoms after surgery, and the mean bleeding-free period after resection in 5 patients was 52.6 +/- 23.6 months. In 6 patients, estrogen receptor-positive and estrogen receptor-negative tumors were identified in the same liver. Based on the good outcome after resection in symptomatic patients with liver adenomatosis, we recommend resection of large (>/=5 cm) or symptomatic lesions with observation of smaller lesions (</=3 cm). Lack of estrogen receptors in many lesions suggests that estrogen does not play a dominant role in the pathogenesis of liver adenomatosis. |
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Authors:
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A Ribeiro; L J Burgart; D M Nagorney; G J Gores |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Liver transplantation and surgery : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society Volume: 4 ISSN: 1074-3022 ISO Abbreviation: Liver Transpl Surg Publication Date: 1998 Sep |
Date Detail:
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Created Date: 1998-10-05 Completed Date: 1998-10-05 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9502504 Medline TA: Liver Transpl Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 388-98 Citation Subset: IM |
Affiliation:
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Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adenoma, Liver Cell
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complications,
metabolism,
surgery* Adult Female Follow-Up Studies Hemorrhage / etiology, surgery Hepatectomy* Humans Immunoenzyme Techniques Liver Neoplasms / complications, metabolism, surgery* Male Middle Aged Neoplasm Recurrence, Local Proto-Oncogene Proteins c-bcl-2 / biosynthesis Receptors, Estrogen / biosynthesis Receptors, Progesterone / biosynthesis Retrospective Studies Treatment Outcome Tumor Markers, Biological / biosynthesis |
| Chemical | |
Reg. No./Substance:
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0/Proto-Oncogene Proteins c-bcl-2; 0/Receptors, Estrogen; 0/Receptors, Progesterone; 0/Tumor Markers, Biological |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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