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磁共振成像时弥漫性促纤维组织增生性乳腺癌肝转移模拟肝硬化:两例报告

Diffuse desmoplastic breast carcinoma metastases to the liver simulating cirrhosis at MR imaging: report of two cases.

作者信息

Nascimento A B, Mitchell D G, Rubin R, Weaver E

机构信息

Departments of Radiology, Thomas Jefferson University Hospital, 132 S 10th St, 1096 Main Bldg, Philadelphia, PA 19107, USA.

出版信息

Radiology. 2001 Oct;221(1):117-21. doi: 10.1148/radiol.2211001754.

DOI:10.1148/radiol.2211001754
PMID:11568328
Abstract

Two patients with breast carcinoma, without a prior diagnosis of liver lesions, had proved desmoplastic hepatic metastases that resembled cirrhosis at magnetic resonance (MR) imaging. The cirrhotic appearance of the livers may have resulted from the hepatotoxic effects of chemotherapy and/or hepatic infiltration by the metastatic tumor itself. Despite its high soft-tissue contrast, MR imaging may fail to depict extensive metastases from breast carcinoma, especially when they simulate other diseases (eg, cirrhosis). Correlation of MR imaging findings with clinical history is mandatory.

摘要

两名乳腺癌患者,之前未诊断出肝脏病变,经证实存在促纤维增生性肝转移,在磁共振成像(MR)中表现类似肝硬化。肝脏的肝硬化样表现可能是化疗的肝毒性作用和/或转移瘤本身肝浸润所致。尽管MR成像具有很高的软组织对比度,但可能无法显示乳腺癌的广泛转移,尤其是当它们类似其他疾病(如肝硬化)时。MR成像结果与临床病史的关联是必不可少的。

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