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一例不典型局灶性结节性增生病例。影像诊断问题。

An atypical case of focal nodular hyperplasia. Problems of imagistic diagnosis.

作者信息

Chiorean Liliana, Badea Radu, Dudea Sorin, Chira Olimpia, Manole Simona, Caraiani Cosmin, Puia Cosmin, Zaharie Toader

机构信息

Department of Radiology and Computed Tomography, "Octavian Fodor" Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania, E-mail:

Department of Ultrasonography, "Octavian Fodor" Institute of Gastroenterology and Hepatology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

出版信息

Med Ultrason. 2014 Mar;16(1):70-4. doi: 10.11152/mu.2014.2066.161.lc1rb2.

DOI:10.11152/mu.2014.2066.161.lc1rb2
PMID:24567929
Abstract

Focal nodular hyperplasia (FNH) is a hepatic disease first described in 1958. The existence of an accessible and minimally invasive imagistic investigation to establish the diagnosis in a large number of cases would be desirable, especially because once diagnosed, the disease needs no treatment. We present the case of a young woman with long term use of oral contraceptives in which the diagnosis of FNH was established at a routine ultrasound. Evolution of disease during the pregnancy and the atypical imagistic aspect of liver lesions raised many problems of differential diagnosis.

摘要

局灶性结节性增生(FNH)是一种于1958年首次被描述的肝脏疾病。对于大量病例而言,存在一种可及且微创的影像学检查方法来确立诊断是很有必要的,尤其是因为一旦确诊,该疾病无需治疗。我们报告了一例长期服用口服避孕药的年轻女性病例,其FNH诊断是在常规超声检查时确立的。孕期疾病的进展以及肝脏病变的非典型影像学表现引发了诸多鉴别诊断问题。

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