Davis W D, Ferrante W A, Tutton R H, Bowen J C
Department of Surgery, Ochsner Clinic, New Orleans, LA 70121.
JAMA. 1990 Feb 16;263(7):983-6.
Three cases of symptomatic cavernous hemangioma of the liver are reported. All three patients have normal angiograms. A review of the literature shows that the diagnosis of hemangioma may be made noninvasively with a high degree of accuracy. Technetium Tc 99m-labeled red blood cell scanning is very specific, while dynamic computed tomography may be more sensitive for small lesions. A combination of the two modalities makes the diagnosis in greater than 90% of cases. Magnetic resonance imaging is also sensitive and specific. Angiography, as shown in these cases, may not only be questionably indicated, but may be misleading. The treatment for symptomatic lesions is resection, and secondary alternatives are discussed.
报告了3例有症状的肝海绵状血管瘤。所有3例患者的血管造影均正常。文献回顾表明，血管瘤的诊断可以通过非侵入性方法高度准确地做出。锝Tc 99m标记的红细胞扫描非常特异，而动态计算机断层扫描对小病灶可能更敏感。两种方法结合可使90%以上的病例得以诊断。磁共振成像也很敏感且特异。如这些病例所示，血管造影不仅可能没有必要，而且可能会产生误导。有症状病灶的治疗方法是切除，并讨论了其他替代方法。
