罕见的恶性肝肿瘤:当前的见解和影像学挑战。

IF 1.5 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Eleonora Salles-Silva MD , Paula Lemos de Castro MD , Luiza Carvalho Ambrozino MD , Antonio Luis-Eiras de Araújo MD, PhD , Daniel Lahan-Martins MD, PhD , Maria Fernanda Arruda Almeida MD, PhD , Fabiano Rubião Lucchesi MD, PhD , Eduardo Oliveira Pacheco MD , Ulysses S. Torres MD, PhD , Giuseppe D’Ippolito MD, PhD , Daniella Braz Parente MD, PhD
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引用次数: 0

摘要

罕见恶性肝肿瘤(rmlt)是一组不同的肿瘤,具有不同的影像学特征,由于其低患病率和与更常见的肝脏病变重叠,因此具有重大的诊断挑战。本文强调的主要放射特性选择RMLTs-including fibrolamellar肝癌,肝淋巴瘤,肝细胞癌在non-cirrhotic肝、粘液性囊性肿瘤,导管内乳头状肿瘤的胆管,上皮样血管内皮瘤、血管肉瘤,恶性肝腺瘤,神经内分泌肿瘤,hepatocholangiocarcinoma,肝母细胞癌、未分化的胚胎性肉瘤,以及婴儿肝血管内皮瘤,重点讨论其CT和MRI表现。识别特定的影像学表现,如动脉高强、胆道通讯、靶标和棒棒糖征象以及肿瘤形态,有助于缩小鉴别诊断范围并指导适当的临床处理。尽管影像学有了进步,但由于非特异性特征,常常需要进行组织病理学确认。提高对这些罕见实体的放射学认识对于促进早期诊断和个性化治疗计划至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rare Malignant Liver Tumors: Current Insights and Imaging Challenges
Rare malignant liver tumors (RMLTs) comprise a diverse group of neoplasms with distinct imaging features and significant diagnostic challenges due to their low prevalence and overlap with more common hepatic lesions. This review highlights the main radiologic characteristics of selected rare malignant liver tumors—including fibrolamellar hepatocellular carcinoma, hepatic lymphoma, hepatocellular carcinoma in non-cirrhotic liver, mucinous cystic neoplasm, intraductal papillary neoplasm of the bile duct, epithelioid hemangioendothelioma, angiosarcoma, malignant hepatic adenoma, neuroendocrine tumor, hepatocholangiocarcinoma, hepatoblastoma, undifferentiated embryonal sarcoma, and infantile hepatic hemangioendothelioma—focusing on their presentation in computed tomography and magnetic resonance imaging. Recognizing specific imaging findings, such as arterial hyperenhancement, biliary communication, target and lollipop signs, and tumor morphology, can help narrow differential diagnoses and guide appropriate clinical management. Despite advancements in imaging, histopathologic confirmation is often required due to nonspecific features. Improved radiologic awareness of these rare entities is essential to facilitate early diagnosis and individualized treatment planning.
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来源期刊
CiteScore
2.60
自引率
0.00%
发文量
49
审稿时长
6-12 weeks
期刊介绍: Seminars in Ultrasound, CT and MRI is directed to all physicians involved in the performance and interpretation of ultrasound, computed tomography, and magnetic resonance imaging procedures. It is a timely source for the publication of new concepts and research findings directly applicable to day-to-day clinical practice. The articles describe the performance of various procedures together with the authors'' approach to problems of interpretation.
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