Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Korean J Radiol. 2010 Sep-Oct;11(5):560-5. doi: 10.3348/kjr.2010.11.5.560. Epub 2010 Aug 27.
Intrahepatic bile duct adenoma is a rare benign epithelial hepatic tumor derived from bile duct cells. We report the imaging findings of a patient with bile duct adenoma, which appeared as a small heterogeneously enhancing mass with focal small cystic change on CT and MRI. Follow-up images at seven months showed a slight increase in tumor size, which could be partly explained by intratumoral hemorrhage on pathologic examination. Although rare, bile duct adenoma should be considered as a differential diagnosis of a small hypervascular tumor located in the periphery of liver. Focal cystic change and intratumoral hemorrhage may occur.
肝内胆管腺瘤是一种罕见的良性上皮性肝肿瘤,来源于胆管细胞。我们报告了 1 例肝内胆管腺瘤患者的影像学表现,CT 和 MRI 均显示为边界清楚的混杂强化的小肿块,局部可见小囊变。7 个月后随访,肿瘤体积略有增大,镜下检查提示部分为肿瘤内出血。尽管罕见,但肝内胆管腺瘤应作为肝脏周边部位富血供小肿瘤的鉴别诊断之一,其可能出现局部囊变和肿瘤内出血。