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肝脏脂肪瘤:计算机断层扫描、超声检查及细胞学检查结果

Lipoma of the liver: computed tomographic, ultrasonographic, and cytologic findings.

作者信息

Langsteger W, Lind P, Schneider G H, Költringer P, Beham A, Eber O

机构信息

Internal Dept., Barmherzige Brüder Eggenberg Hospital, Graz, Austria.

出版信息

Scand J Gastroenterol. 1990 Mar;25(3):302-6.

PMID:2181622
Abstract

A hepatic lesion, manifest for several years in a 59-year-old female patient, was diagnosed as lipoma in the pre-contrast scan because of its attenuation value (-87 Hounsfield units (HU)); in addition, diagnosis was confirmed by aspiration cytology. In this case report the great merit of transmission computed tomography (TCT) is demonstrated, and ultrasound patterns and possible histogenetic origin of this neoplasm are discussed. The lipomatous liver tumors described in the literature with attenuation values of less than -60 HU are merely mixed tumors with lipomatous amounts of various sizes, whereas in true lipomas attenuation values from -80 to -120 HU have been measured.

摘要

一名59岁女性患者的肝脏病变已存在数年,在增强扫描前因其衰减值(-87亨氏单位(HU))被诊断为脂肪瘤;此外,穿刺细胞学检查也证实了诊断。在本病例报告中展示了透射计算机断层扫描(TCT)的巨大优势,并讨论了该肿瘤的超声表现及可能的组织发生学起源。文献中描述的衰减值小于-60 HU的肝脏脂肪瘤性肿瘤仅仅是含有不同大小脂肪成分的混合性肿瘤,而真正的脂肪瘤测得的衰减值为-80至-120 HU。

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