常染色体显性多囊肾病中的复杂肝囊肿。
Complex liver cysts in Autosomal Dominant Polycystic Kidney Disease.
机构信息
Department of Radiology, Weill Cornell Medical Center, New York, NY, United States; Department of Radiology, Columbia College of Physicians and Surgeons, New York, NY, United States.
The Rogosin Institute, United States; Division of Nephrology, Hypertension, and Transplant Medicine, Department of Medicine, Weill Cornell Medical Center, United States.
出版信息
Clin Imaging. 2017 Nov-Dec;46:98-101. doi: 10.1016/j.clinimag.2017.07.014. Epub 2017 Jul 25.
PURPOSE
To determine prevalence of complex liver cysts in Autosomal Dominant Polycystic Kidney Disease (ADPKD).
METHODS
Abdominal MRI in 186 ADPKD subjects were evaluated by two independent observers to determine prevalence of complex liver cysts.
RESULTS
23 (12%) of subjects, had at least 1 complex cyst. Only 8 (4%) were reported to have a complex cyst prospectively, representing an under-reporting rate of 65%. Median total cyst volume was 66-times greater for subjects with complex cysts compared to subjects without (p<0.0001).
CONCLUSION
Complex hepatic cysts were observed in 12% of ADPKD cases, occurring more frequently in livers with extensive cystic involvement.
目的
确定常染色体显性多囊肾病（ADPKD）患者中复杂肝囊肿的患病率。
方法
对 186 例 ADPKD 患者的腹部 MRI 进行了两名独立观察者的评估，以确定复杂肝囊肿的患病率。
结果
23 名（12%）患者至少有 1 个复杂囊肿。仅 8 名（4%）患者前瞻性报告有复杂囊肿，报告率低至 65%。与无复杂囊肿的患者相比，有复杂囊肿的患者的总囊肿体积中位数大 66 倍（p<0.0001）。
结论
在 12%的 ADPKD 病例中观察到复杂肝囊肿，在广泛囊性受累的肝脏中更常见。
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