Un adénome hépatique révélé par une élévation isolée des phosphatases alcalines

作者: Patrick Borentain , René Gérolami , Franck Dodero , Marie-Anne Chrestian , Francis Quillichini

DOI: 10.1016/S0399-8320(06)73170-0

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摘要: Resume Nous rapportons l’observation d’une femme de 25 ans qui presentait une elevation importante (2 571 UI/L) des phosphatases alcalines sanguines. Les dosages sanguins transaminases, la gammaglutamyl transpeptidase et bilirubine etaient normaux. L’echographie abdominale mettait en evidence tumeur du foie droit. Il n’y avait pas signe d’obstruction biliaire. L’activite phosphatase alcaline revenait a normale apres resection chirurgicale hepatique. L’analyse histologique concluait un adenome hepatique non degenere. cellules tumorales presentaient marquage intense pour l’activite alcaline. s’agissait donc secretion (type biliaire) par

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