Murphy B J, Casillas J, Ros P R, Morillo G, Albores-Saavedra J, Rolfes D B
Department of Diagnostic Radiology, Memorial Medical Center, University of Miami, Florida.
Radiographics. 1989 Mar;9(2):307-22. doi: 10.1148/radiographics.9.2.2538868.
The authors here discuss twelve discrete pathologic entities that they found, in a review of over 500 abdominal CT scans, caused the appearance of a cystic lesion in the liver. The CT characteristics of the various lesions are illustrated, differential points in the patients' histories are noted, and gross and microscopic pathology specimens are correlated with the CT appearances to explain the CT findings. Lesions considered include: simple (bile duct) cyst, adult polycystic kidney disease, Caroli disease, pyogenic abscess, echinococcal cyst, amebic abscess, metastasis, biliary cystadenoma and cystadenocarcinoma, hepatocellular carcinoma, cholangiocarcinoma, biloma, and extrapancreatic pseudocyst.
本文作者讨论了他们在回顾500余例腹部CT扫描时发现的12种不同的病理实体，这些实体可导致肝脏出现囊性病变。文中阐述了各种病变的CT特征，记录了患者病史中的鉴别要点，并将大体和显微镜下病理标本与CT表现相关联，以解释CT检查结果。所考虑的病变包括：单纯（胆管）囊肿、成人多囊肾疾病、卡罗里病、化脓性脓肿、棘球蚴囊肿、阿米巴脓肿、转移瘤、胆管囊腺瘤和囊腺癌、肝细胞癌、胆管癌、胆汁瘤和胰腺外假性囊肿。
