Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajiicho Kawaramachi Hirokoji Kamigyo-ku, Kyoto City, 602-8566, Japan.
Pediatr Radiol. 2010 May;40(5):777-80. doi: 10.1007/s00247-009-1491-3. Epub 2010 Feb 24.
We report a case of stage 4S neuroblastoma in which CT showed diffuse liver metastases containing a geographical fatty area in the periportal region. MRI showed this abnormality to correspond to an area with an unusual pattern of fatty change. (123)I-metaiodobenzylguanidine (MIBG) scintigraphy demonstrated increased accumulation throughout the liver, except for the region showing fatty change. To the best of our knowledge, this is the first report of liver metastases from neuroblastoma with geographical fatty infiltration.
我们报告一例 4S 期神经母细胞瘤病例，CT 显示弥漫性肝转移，门脉周围区域有局灶性脂肪区。MRI 显示该异常对应于脂肪变化模式异常的区域。123I-间碘苄胍（MIBG）闪烁显像显示肝脏除了显示脂肪变化的区域外，其余部位均有放射性浓聚。据我们所知，这是首例神经母细胞瘤肝转移伴局灶性脂肪浸润的报道。
