陈鹏,赵卫东,张红宇,秦慧娟,刘帅.肝腺瘤的CT及MRI表现及误诊分析[J].中国介入影像与治疗学,2010,7(2):124-127
肝腺瘤的CT及MRI表现及误诊分析
CT and MRI appearances and the causes of misdiagnosis of hepatic adenoma
投稿时间:2009-08-10  修订日期:2009-11-21
DOI:
中文关键词:  腺瘤,肝细胞  诊断显像  误诊
英文关键词:Adenoma, liver cell  Diagnostic imaging  Misdiagnosis
基金项目:
作者单位
陈鹏 山西医科大学第二医院医学影像科,山西 太原 030001 
赵卫东 山西医科大学第二医院医学影像科,山西 太原 030001 
张红宇 山西医科大学第二医院医学影像科,山西 太原 030001 
秦慧娟 山西医科大学第二医院医学影像科,山西 太原 030001 
刘帅 山西医科大学第二医院医学影像科,山西 太原 030001 
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中文摘要:
       目的 回顾性分析肝腺瘤的CT、MRI表现及其鉴别诊断,并结合文献复习对其误诊原因进行探讨。方法 回顾性分析8例经病理证实为肝腺瘤患者的CT及MRI资料。CT扫描包括平扫及三期(动脉、门脉、延迟)增强扫描;MR检查为常规扫描,其中2例另外接受氢质子磁共振波谱(1H-MRS)检查。结果 8例肝腺瘤患者中,4例表现较为典型,均做出正确诊断;4例表现不典型,其中3例误诊为肝癌,1例误诊为肝局灶性结节增生(FNH)。2例肝腺瘤的1H-MRS可见肿瘤组织与瘤周正常肝组织胆碱峰的差异不明显。结论 肝腺瘤的CT及MRI表现具有一定的特征,但表现不典型时易误诊。1H-MRS对肝腺瘤可能具有鉴别诊断价值。
英文摘要:
      Objective To retrospectively analyze CT and MR appearances of hepatic adenoma, and to study the causes of misdiagnosis with review of relative literatures. Methods CT and MRI data of 8 patients with pathologically confirmed hepatic adenoma were retrospectively analyzed. Pre- and post-contrast tri-phase (arterial, portal venous and delayed) CT scans and routine MR scan were performed in all 8 patients, and proton magnetic resonance spectroscopy (1H-MRS) was performed in 2 patients. Results Typical demonstrations were found in 4 patients who were correctly diagnosed. Among the others with atypical findings, 3 patients were misdiagnosed as liver cancer and 1 as focal nodular hyperplasia (FNH). The 1H-MRS curves of 2 adenoma tumor showed that the peak of choline of tumor tissue had no significant difference comparing with that of normal liver tissue around the tumor tissue. Conclusion CT and MRI findings of hepatic adenomas have some characteristics, but atypical manifestations lead to misdiagnose. 1H-MRS may be helpful for the differential diagnosis of hepatic adenoma.
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