原发性肝平滑肌肉瘤,是罕见的肝原发性非特异性恶性肿瘤。截至1980年国外报告10余例,国内见一例(张舜发,天津医药肿瘤学附刊 7:47,1980)报告。我院遇到1例,现报告如下。男性,56岁,蒙族,自1955年以来,上腹部阵发性隐痛,以晚饭后或坐位时明显,平卧时缓解,有时进食可惹发疼痛。从未诊治过。1982年3月初,因剧痛住院诊治。体查除嗜酸性细胞计数4,000/mm~3外,其它无特殊。于4月21日剖腹探查,见肝右叶及左叶之间,有一肿瘤,与周围器官广泛粘连,约23×15cm,表面灰红色与暗红色相间,呈囊性感,穿刺抽出咖啡色和血性液体约2,000ml;切开见腔内壁粗糙不平整,暗红色;前壁厚约0.5cm,后壁为瘤组织,灰红色,质地较硬。取瘤组织作冰冻切片检查,病理诊断为肉瘤。因瘤体较大,出血较多,故仅取瘤组织数块,而关闭腹腔。术后患者出现黄疸、腹水及下肢浮肿。经对症治疗无 Primary hepatic leiomyosarcoma, a rare primary nonspecific liver malignancy. As of 1980, more than 10 cases of foreign reports, see a domestic (Zhang Shun hair, Tianjin Medical Oncology Supplement 7: 47,1980) report. I met one hospital, are as follows. Male, 56 years old, Mongolian, since 1955, paroxysmal abdominal pain in the abdomen, after dinner or sitting position obvious, ease when supine, and sometimes eating can cause pain. Never diagnosed before. Early March 1982, hospitalized for pain and pain diagnosis and treatment. Physical examination except eosinophil count 4,000 / mm ~ 3, the other no special. On April 21 laparotomy, see the right lobe and left lobe between the liver, a tumor, with extensive adhesion around organs, about 23 × 15cm, the surface gray and dark red and white, a cystic sexy, puncture and brown out of the liquid and bloody About 2,000ml; cut see cavity rough rough, dark red; anterior wall thickness of about 0.5cm, the back wall of the tumor tissue, gray-red, hard texture. Take tumor tissue frozen section examination, pathological diagnosis of sarcoma. Due to the larger tumor, bleeding more, so only take a few pieces of tumor tissue, and close the abdominal cavity. Postoperative patients with jaundice, ascites and lower extremity edema. No symptomatic treatment