确诊冠状浓染的局限性结节性过度形成(FNH)病例1

R. Kita, M. Nakatsuji, N. Nishijima, Hisatoku Kawakami, Kiyoaki Hatano, H. Matsuo, Sumio Saito, Atsuyuki Ikeda, Akihiro Nasu, Hiroki Nishikawa, Toru Kimura, Y. Osaki, O. Nakashima
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引用次数: 1

摘要

28岁男性腹部超声检查在5/6节段发现肝结节。结节直径7cm,早期US、CT和MRI影像对比显示轮辐状血管从中心放射。血管后期US和SPIO MRI未见缺损图像,提示结节内存在Kupffer细胞。根据组织学结果诊断为局灶性结节性增生(FNH)。肝动脉造影(CTHA)单水平动态CT晚期显示结节呈冠状强化,这被认为是高血管转移性肝肿瘤、增生性结节和hcc的特征。在我们的病例中,从结节流出的引流流可以通过从结节周围的窦状动脉到相邻和邻近实质的窦状动脉的途径被视为冠状增强。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
コロナ様濃染を認めた限局性結節性過形成(FNH)の1症例
A hepatic nodule was detected in segment 5/6 on abdominal US study in a 28 year-old male. The nodule was 7cm in diameter and the early phase of contrasted US, CT and MRI images showed spoke-wheel like vessels radiating from the center. No defect images were observed on postvascular phase contrasted US and SPIO MRI, which indicated the presence of Kupffer cells in the nodule. The nodule was diagnosed as a focal nodular hyperplasia (FNH) based on histological findings. The late phase of single level dynamic CT during hepatic arteriography (CTHA) showed corona enhancement of the nodule, which is considered to be characteristic of hypervascular metastatic liver tumors, hyperplastic nodules and HCCs. In our case, the drainage flow from the nodule may have been visualized as corona enhancement via the pathway from the sinusoid in the nodular periphery to the one in the adjacent and contiguous parenchyma.
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