Myers R P, Downey D, Chakrabarti S, Marotta P J
Department of Medicine, Liver Disease Unit, London Health Sciences Centre, University of Western Ontario, London, Ontario N6A 5A5, Canada.
Can J Gastroenterol. 2001 Feb;15(2):137-42. doi: 10.1155/2001/419259.
Focal nodular hyperplasia is a rare, benign condition of the liver. A 28-year-old woman with malignant melanoma, mild liver enzyme abnormalities, steatohepatitis and newly documented hepatic lesions is described. Ultrasound, computed tomography and magnetic resonance imaging suggested only areas of focal fatty sparing but could not eliminate the concern for metastases. A (99m)technetium-labelled sulphur colloid scan, however, revealed areas of increased uptake consistent with multiple focal nodular hyperplasia. This diagnosis was ultimately confirmed with a liver biopsy. The investigation of a patient with a malignancy and expanding hepatic lesions is challenging. This case illustrates the usefulness of the (99m)technetium-labelled sulphur colloid scan in the evaluation of patients with hepatic lesions.
局灶性结节性增生是一种罕见的肝脏良性病变。本文描述了一名28岁患有恶性黑色素瘤、轻度肝酶异常、脂肪性肝炎且新发现肝脏病变的女性患者。超声、计算机断层扫描和磁共振成像仅提示局灶性脂肪 sparing 区域，但无法排除转移的担忧。然而，锝（99m）标记的硫胶体扫描显示摄取增加区域，符合多发局灶性结节性增生。最终通过肝脏活检证实了这一诊断。对患有恶性肿瘤和肝脏病变扩大的患者进行检查具有挑战性。该病例说明了锝（99m）标记的硫胶体扫描在评估肝脏病变患者中的有用性。
