Itai Y, Ohtomo K, Kokubo T, Yoshida H, Minami M, Kawauchi N, Okada Y
Department of Radiology, University of Tokyo, Japan.
Radiat Med. 1989 May-Jun;7(3):143-9.
Three cases of multiple, different liver tumors in the same patient were examined with CT and MR imaging. Two patients with coexistent hepatocellular carcinoma and cavernous hemangioma were correctly diagnosed by the following characteristic findings on dynamic CT and/or MR images; spreading and markedly prolonged enhancement in cavernous hemangioma, and the presence of capsule and/or transient diffuse enhancement in hepatocellular carcinoma. The third case of hepatocellular carcinoma and cholangiocarcinoma showed typical findings of hepatocellular carcinoma in one tumor and unusual complex enhancement in the other. CT and MR imaging may enable correct diagnosis to be made even in patients with multiple liver tumors of different kinds.
对同一患者体内的三例多发性、不同类型肝脏肿瘤进行了CT和磁共振成像（MR）检查。两名同时患有肝细胞癌和海绵状血管瘤的患者通过动态CT和/或MR图像上的以下特征性表现得到了正确诊断；海绵状血管瘤表现为强化范围扩大且强化明显延长，肝细胞癌表现为有包膜和/或一过性弥漫性强化。第三例肝细胞癌和胆管癌患者，其中一个肿瘤表现为肝细胞癌的典型特征，另一个则表现为不寻常的复杂强化。即使是患有多种不同类型肝脏肿瘤的患者，CT和MR成像也可能有助于做出正确诊断。
