Abstract: 【Abstract】〓Objective〓To discuss the diagnosis and treatment for malignant fibrous histiocytoma of the liver. Methods〓One case of primary hepatic malignant fibrous histiocytoma, treated in Dongguan Taiping People's Hospital,.misdignosed as liver abscess before operation and confirmed by the pathology after operation in 2014,.was analyzed retrospectively. Results〓The case showed liver abscess by history and imaging data preoperatively,but liver tumor intraoperatively..The patient received complete surgical resection,.confirmed for malignant fibrous histiocytoma of the liver by the pathology postoperatively,.and survived for about two months. Conclusion〓Primary hepatic malignant fibrous histiocytoma of the liver,.highly malignant,.with nonspecific clinical manifestation and a poor prognosis,.is easy to be misdiagnosed,.and confirmed by the pathology mainly..Surgical resection is the only effective treatment for malignant fibrous histiocytoma of the liver,.which is not sensitive to chemotherapy or radiotherapy.

Key words: Malignant fibrous histiocytoma of the liver, Diagnosis, Treatment

摘要： 【摘要】〓目的〓探讨肝纤维肉瘤的诊断与治疗方法。方法〓回顾性分析东莞市第五人民医院2014年收治的1例术前误诊为肝脓肿,术后病理确诊为肝纤维肉瘤的患者临床资料。结果〓该患者术前病史及影像学诊断均考虑肝脓肿,术中发现为肝肿瘤予手术切除,术后病理诊断为肝纤维肉瘤,存活2个月。结论〓肝纤维肉瘤恶性程度高,临床无特异性,容易误诊,主要依靠病理确诊,预后差,手术是唯一有效治疗方法,对放化疗均不敏感。

关键词: 肝纤维肉瘤, 诊断, 治疗