双语病例肝脏海绵状血管瘤

History:A36-year-oldwomanpresentswithnauseaandconstipation.

病史:36岁女性,恶心,便秘。

Axialunenhancedandcontrast-enhancedarterial-,venous-,anddelayed-phaseimagesfromabdominalCTareshownbelow.

轴位CT平扫及增强扫描(动脉期、静脉期、延迟期),如下所示。

Findings

CTdemonstratesa6-cmhypoattenuatinglesionintherighthepaticdomewithperipheralnodularenhancementonearlyphaseimages,followedbycentripetalenhancementduringthelaterphase.

表现:肝右顶部可见一6cm大小的低密度灶,增强扫描早期外周结节样强化,晚期呈渐进性向心性强化。

Differentialdiagnosis

Cavernoushemangioma

Focalnodularhyperplasia

Hypervascularmetastasis

Hepatocellularcarcinoma

Hepaticadenoma

Hepaticabscess

鉴别诊断:

海绵状血管瘤

局灶性结节性增生

富血供转移瘤

肝细胞癌

肝腺瘤

肝脓肿

Diagnosis:Cavernoushemangioma

诊断:海绵状血管瘤

Keypoints

Cavernoushemangioma

Clinicaloverview临床概况

Cavernoushemangiomasarethemost







































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