Hepatic Angiomyolipomas Imaging Diagnostic Points
Author:ZHANG Qi, ZHU Bin, MAO Yu
affiliation:1 The Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Image Division Jiangsu Nanjing 210000. 2 Nanjing Children's Hospital Ultrasound Jiangsu Nanjing 210000
PDFAbstract
Objective to evaluate the hepatic angiomyolipomas (HAML) of clinical and CT, MRI diagnostic characteristic, further improve the preoperative diagnostic rate of the disease. Methods a retrospective analysis of 7 cases confirmed by surgery pathology HAML imaging findings and clinical and pathological features. 4 patients underwent CT scanning, 2 patients underwent MRI scanning, 1 patient underwent CT and MRI scanning at the same time. Five patients underwent CT enhanced scan, 1 patient MRI enhancement scanning. Images based on these images were retrospectively analyzed, and summarizes some characteristics, for example, the location of the lesions, size, is there any early intensive vein, the density of the lesions or signal of strengthening way, etc. Results the 7 patients were retrospectively analyzed, there are five women, two men. Hepatic angiomyolipomas is usually a clear boundary of isolated mass, 5 cases of single, two lesions, 1 case for another 3 lesions, a total of 10 lesions. Lesion size, an average of 4.3 cm in diam. 7 in the right hepatic lobe, one is located in the caudate lobe, two is located in the left hepatic lobe. Four fat density or signal lesions in visible, 1 focal signs of calcification. None of the patients with cirrhosis and envelope. Conclusion When the liver lesions appeared early strengthening around vein, strengthening edge, no envelope, and AFP normal and no cirrhosis, hepatic angiomyolipomas should be considered.
【Keyword】Hepatic Angiomyolipomas; Imaging
【Chart number】R735.7
【Document Identification Number】A
【DOI】10.3969/j.issn.1009-3257.2015.05.012
Journal of Rare Diseases
th22Volume, th 5 Issue
2019Year11Month
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