Buurman R, Bücheler E, Boldt I
Rofo. 1975 Nov;123(5):393-9. doi: 10.1055/s-0029-1230223.
Thirteen cases of cavernous haemangiomas of the liver are described, and the clinical features, diagnosis and treatment are discussed. The purpose of this paper is to show the value of selective coeliac angiography in the differential diagnosis. The most important angiographic findings in cavernous haemangiomas of the liver are: supplying arteries of normal width, prolonged stasis of the contrast medium producing the appearance of spotty contrast depots, frequently, sharp delineation of the tumours; no A-V fistulae and no tumour vessels. Other hypervascular liver tumours must be distinguished from these, particularly hepatocellular carcinomas and sarcomas, as well as the rare haemangioendotheliomas.
本文描述了13例肝脏海绵状血管瘤,并对其临床特征、诊断和治疗进行了讨论。本文的目的是展示选择性腹腔动脉造影在鉴别诊断中的价值。肝脏海绵状血管瘤最重要的血管造影表现为:供血动脉宽度正常,造影剂长时间滞留形成斑点状造影剂充盈区,肿瘤边界常清晰;无动静脉瘘且无肿瘤血管。必须将其他高血供肝脏肿瘤与这些情况区分开来,特别是肝细胞癌和肉瘤,以及罕见的血管内皮瘤。