新生儿及小婴儿肝脏婴儿型血管内皮瘤的诊断和治疗探讨

新生儿及小婴儿肝脏婴儿型血管内皮瘤的诊断和治疗探讨

杜京斌;陈永卫;祝秀丹;郭卫红;候大为;李樱子;刘翔

【期刊名称】《中华小儿外科杂志》 【年(卷),期】2014(035)012

【摘要】Objective To explore the diagnosis and treatment of infantile hepatic hemangioendothelioma (IHHE) in infants and young children.Methods The clinical data of 2006-2012 were retrospectively reviewed

for

62

hospitalized

cases

of

hepatic

infantile

hemangioendothelioma confirmed by postoperative pathology.And the treatments included surgery (n =22),oral corticosteroid (n =34) and passive

observation

(n

=6).Results

All

of

them

survived

postoperatively.And 19 cases had normal growth and development and there was no recurrence during a follow-up period of 24 months.In the non-surgical group,after 3-6 months of corticosteroids,computed tomography (CT) scan showed that 28 cases were cured and tumor diameter significantly shrank under 2 cm in 6 cases,including multiple liver hemangioma downsized in infiltrated areas (n =4).For observation cases,tumor diameter decreased under 1 cm (n =4) and there was no obvious change (n =2) during a follow-up period of 3-6 months.Conclusions Based upon lesion sites and extents,IHHE may be treated differently with a fair prognosis.%目的 探讨新生儿及小婴儿肝脏婴儿型血管内皮瘤的诊断及治疗方法.方法 回顾性分析2006年10月至2012年