Spontaneous Regression of Hepatic Adenoma in a Patient with Glycogen Storage Disease Type I after Hemodialysis: Ultrasonographic and CT Findings
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概要
- 論文の詳細を見る
A 23-year-old woman was admitted to our hospital with recurrent gouty arthritis. Laboratory findings showed hypoglycemia, lactic acidosis, hyperlipidemia, and hyperuricemia, with normal values of serum alfa-fetoprotein (AFP) and protein induced by vitamin K absence (PIVKA-II). A diagnosis of glycogen storage disease type I (GSD-type I) was made on the basis of the laboratory data, liver biopsy findings, and partially deficient thrombocyte glucose-6-phosphatase (G-6-Pase) activity. Ultrasonography and computed tomography revealed multiple focal hepatic masses. Biopsied specimens of the lesion demonstrated a hepatic adenoma, which changed in appearance in the relatively short period between echography and computed tomography. This interesting phenomenon may highlight the importance for careful follow-up of hepatic adenomas, because of the potential of rupture, hemorrhage, or malignant transformation. During follow-up, the present patient received hemodialysis due to renal failure, and the adenoma regressed spontaneously after 8 years. Included are diagnostic images, demonstrating the association of hepatic adenoma and GSD-type I.(Internal Medicine 40: 891-895, 2001)
- 社団法人 日本内科学会の論文
著者
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Yamamoto Toshio
Department Of Oral Function And Anatomy In Okayama University Graduate School Of Medicine Dentistry
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Yamamoto Toshio
岡山大学 医歯薬学総合研究科口腔形態学
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Moriwaki Yuji
Division of Endocrinology and Metabolism, Department of Internal Medicine, Hyogo College of Medicine
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Takahashi Sumio
Division of Endocrinology and Metabolism, Department of Internal Medicine, Hyogo College of Medicine
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Moriwaki Yuji
兵庫医科大学 内科学内分泌･代謝科
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Moriwaki Yuji
Third Department Of Internal Medicine Hyogo College Of Medicine
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Takahashi Sumio
兵庫医科大学 内科学内分泌･代謝科
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Iijima Hiroko
Division Of Hepatobiliary And Pancreatic Diseases Department Of Internal Medicine Hyogo College Of M
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IIJIMA Hiroko
the Third Department of Internal Medicine, Hyogo College of Medicine
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MORIWAKI Yuji
the Third Department of Internal Medicine, Hyogo College of Medicine
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YAMAMOTO Tetsuya
the Third Department of Internal Medicine, Hyogo College of Medicine
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TAKAHASHI Sumio
the Third Department of Internal Medicine, Hyogo College of Medicine
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NISHIGAMI Takashi
the Second Department of Pathology, Hyogo College of Medicine
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HADA Toshikazu
the Third Department of Internal Medicine, Hyogo College of Medicine
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Yamamoto Tetsuya
Division Of Hepatobiliary And Pancreatic Medicine Department Of Internal Medicine Hyogo College Of M
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Yamamoto Takayuki
Department Of Oral Pathology Kanagawa Dental College
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Nishigami Takashi
The Second Department Of Pathology Hyogo College Of Medicine
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Iijima Hiroko
Division Of Hepatobiliary And Pancreatic Medicine Department Of Internal Medicine Hyogo College Of M
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Hada Toshikazu
Division Of Hepatobiliary And Pancreatic Medicine Department Of Internal Medicine Hyogo College Of M
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Yamamoto Tomomi
Dept. Of Histology And Cell Biology:dept. Of Otolaryngology
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Yamamoto-fukuda Tomomi
Histology And Cell Biology:otolaryngology Nagasaki University School Of Medicine
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Hada Toshikazu
Department Of Molecular Medicine Osaka University Graduate School Of Medicine
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Takahashi S
Division Of Endocrinology And Metabolism Department Of Internal Medicine Hyogo College Of Medicine
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Yamamoto Tetsuya
Division Of Hepatobiliary And Pancreatic Medicine Department Of Internal Medicine Hyogo College Of M
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Yamamoto Tetsuo
Division Of Hepatobiliary And Pancreatic Medicine Department Of Internal Medicine Hyogo College Of M
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Iijima Hiroko
Division Of Hepatobiliary And Pancreatic Diseases Department Of Internal Medicine Hyogo College Of M
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Iijima Hiroko
Third Department Of Internal Medicine Hyogo College Of Medicine
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Hada Toshikazu
Division Of Hepatobiliary And Pancreatic Diseases Department Of Internal Medicine Hyogo College Of Medicine
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