Department of Radiology, Faculty of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan.
Jpn J Radiol. 2011 Aug;29(7):524-7. doi: 10.1007/s11604-011-0581-y. Epub 2011 Sep 1.
A 60-year-old woman who had had a history of renal cell carcinoma with intraperitoneal recurrence presented with multiple liver masses. Computed tomography demonstrated multiple enhancing lesions in the both lobes of the liver, and there was an apparent small vessel coursing within one of the lesions. On magnetic resonance imaging, masses showed slight T1 and T2 prolongation, and restricted diffusion: On the hepatobiliary phase of liver-specific contrast agent enhancement, lesions were shown as low signal intensity of varying degree. Liver metastases from renal cell carcinoma were suspected, and partial hepatectomy was performed for the superficially located nodules to make a definitive diagnosis. The final pathological diagnosis was reactive lymphoid hyperplasia or pseudolymphoma of the liver.
一位 60 岁女性,曾患有肾细胞癌伴腹腔内复发,现出现多个肝脏肿块。计算机断层扫描显示肝脏两叶多个增强病变,其中一个病变内有明显的小血管穿行。磁共振成像显示肿块 T1 和 T2 延长轻微,弥散受限;肝特异性对比剂增强的肝胆期,病变呈不同程度的低信号强度。考虑为肾细胞癌肝转移,为明确诊断对位于表面的结节行部分肝切除术。最终的病理诊断为肝反应性淋巴组织增生或假性淋巴瘤。