Abstract

症例は50歳代男性.肝機能障害と肝腫瘤の精査目的で入院となった.血液検査では,血清肝酵素の軽度上昇,高度の高フェリチン血症,トランスフェリン飽和度高値を認めた.腹部CT・MRIで,びまん性鉄沈着が疑われる肝実質内に径15 mmの単発の腫瘤を認め,肝細胞癌を疑い施行した腫瘍生検でdysplastic noduleと診断された.また,非腫瘤部の肝細胞およびKupffer細胞には強い鉄沈着を認め,線維化はF2であった.鉄過剰症に対して瀉血療法を開始した.

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