Hoshi Namiko, Mukai Shinji, Oishi Miyuki, Takano Makoto, Shinzawa Jotaro, Watanabe Shigeru, Yamazaki Shigeru, Sakuma Hideo, Ohira Hiromasa, Obara Katsutoshi, Kasukawa Reiji, Sato Yukio
Division of Gastroenterology, Ohta Nishinouchi Hospital, Koriyama, Japan.
Fukushima J Med Sci. 2006 Jun;52(1):13-9. doi: 10.5387/fms.52.13.
Liver neoplasms, whether they are benign or malignant, are usually fed by the hepatic artery. We experienced a case of hepatic angiosarcoma supplied by both hepatic artery and portal vein. Since there are currently no specific laboratory tests to diagnose hepatic angiosarcoma, it is important to detect suspect cases from imaging features. This unique hemodynamic property was detected on computed tomography (CT) during hepatic arteriography and CT during hepatic arterioportography. If any imaging examinations indicate the liver tumor to be fed by the portal vein, hepatic angiosarcoma should be suspected.
肝脏肿瘤，无论良性还是恶性，通常都由肝动脉供血。我们遇到了一例同时由肝动脉和门静脉供血的肝血管肉瘤病例。由于目前尚无诊断肝血管肉瘤的特异性实验室检查，因此从影像学特征中检测可疑病例很重要。这种独特的血流动力学特性在肝动脉造影期间的计算机断层扫描（CT）以及肝动脉门静脉造影期间的CT中被检测到。如果任何影像学检查表明肝脏肿瘤由门静脉供血，则应怀疑为肝血管肉瘤。
