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肝脏孤立性纤维瘤:磁共振成像评估及经动脉化疗栓塞治疗

Solitary fibrous tumor of the liver: magnetic resonance imaging evaluation and treatment with transarterial chemoembolization.

作者信息

El-Khouli Riham H, Geschwind Jean-Francois H, Bluemke David A, Kamel Ihab R

机构信息

Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD 21287, USA.

出版信息

J Comput Assist Tomogr. 2008 Sep-Oct;32(5):769-71. doi: 10.1097/RCT.0b013e3181557453.

Abstract

Solitary fibrous tumor (SFT) is an uncommon neoplasm first described as a tumor of mesenchymal origin that rarely involves the liver. This report presents a rare case of unresectable SFT of the liver and documents the first use of transarterial chemoembolization in its treatment. Three sessions of chemoembolization were performed aiming to reduce the tumor size or at least stabilize it. Subsequent follow-up magnetic resonance imaging examinations were performed to assess imaging response to treatment. We recommend further studies to be done to assess both the use of transarterial chemoembolization in the treatment of unresectable SFT and the use of contrast-enhanced and diffusion-weighted magnetic resonance imaging for assessment of the tumor response to treatment.

摘要

孤立性纤维瘤(SFT)是一种罕见的肿瘤,最初被描述为间叶源性肿瘤,很少累及肝脏。本报告介绍了一例罕见的不可切除的肝脏SFT病例,并记录了首次将经动脉化疗栓塞术用于其治疗的情况。进行了三次化疗栓塞术,旨在缩小肿瘤大小或至少使其稳定。随后进行了随访磁共振成像检查,以评估治疗的影像反应。我们建议进一步开展研究,以评估经动脉化疗栓塞术在不可切除SFT治疗中的应用,以及使用对比增强和扩散加权磁共振成像评估肿瘤对治疗的反应。

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