肝血管肌脂肪瘤(angiomyolipoma, AML)的一个例子。

憲昭 采田, 治男 今村, 修治 多田, 上川 健太郎, 康一 工藤, 秀人 近澤, 秀一 宮瀬, 博信 須古, 和彦 廣田, 譲治 浦田, 克彦 満崎, 神尾 多喜浩
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引用次数: 1

摘要

患者为一名54岁的女性。在肝脏,检测到一个高回声肿块。在2年4个月的时间里,病变从5毫米增加到23毫米。在CT和MRI上,很难将肿块与肝细胞癌区分开来。然而,血管造影显示早期血流流向肝静脉。在CTHA晚期血管ct,肿瘤外未见肝细胞癌患者所见的环状暗染反应(冠状)。行肝切除术,提示血管平滑肌脂肪瘤。扩大的过程可以随访,我们提出的发现可能有助于区分这种肿瘤与肝细胞癌。
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増大の経過を確認できた肝血管筋脂肪腫(angiomyolipoma: AML)の1例
: The patients was a 54-year-old woman. In the liver, a high-echo phyma was detected. The lesion increased from 5 to 23mm over 2 years and 4 months. On CT and MRI, it was difficult to differentiate the phyma from hepatocellular carcinoma. However, angiography revealed early outflow to the hepatic vein. In the late CTHA phase of angio-CT, there was no ring-like dark staining reaction (corona), as observed in hepatocellular carcinoma patients, outside the tumor. Hepatectomy was performed, suggesting angiomyolipoma. The course of enlargement could be followed-up, and we present findings that may be useful for differentiating this tumor from hepatocellular carcinoma.
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