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目的 探讨肝脏转移性自主神经肿瘤的外科治疗及临床病理学特点。方法 结合 1例复发性直肠自主神经肿瘤伴肝脏巨大转移患者的情况进行分析。结果 分别切除体积为 5 0cm× 30cm× 2 5cm(重 12 .5kg)、10cm× 8cm× 6cm的肝脏特大转移性自主神经肿瘤及其直肠原发灶。患者术后已生存 2 6个月 ,仍在随访中。结论 自主神经肿瘤复发、转移率高 ,肝脏是转移灶发生的主要部位。在恰当掌握手术指征的前提下 ,手术切除原发灶和转移灶可以获得满意的效果。
Objective To investigate the surgical treatment and clinical pathological features of hepatic metastatic autonomic tumors. Methods One case of recurrent rectal autonomic nerve tumor with massive liver metastasis was analyzed. Results Large extrahepatic autonomic nerve tumors of the liver and their primary rectum were resected in a volume of 50 cm × 30 cm × 25 cm (weight 12.5 kg) and 10 cm × 8 cm × 6 cm, respectively. Patients have survived 26 months after surgery and are still under follow-up. Conclusion Autonomic tumor recurrence, metastasis rate, the liver is the main part of the occurrence of metastasis. In the proper grasp of surgical indications under the premise of surgical removal of the primary tumor and metastasis can be satisfied with the results.