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具有不寻常位置的肝脏血管周围上皮样细胞瘤:多排螺旋计算机断层扫描和磁共振成像的诊断特征

Liver Perivascular Epithelioid Cell Tumor with an Unusual Location: Diagnostic Characteristics with Multidetector Computed Tomography and Magnetic Resonance Imaging.

作者信息

Hekimoglu Koray, Haberal Murat

机构信息

Department of Radiology, School of Medicine, Baskent University, Ankara, Turkey.

出版信息

J Clin Imaging Sci. 2017 Sep 18;7:36. doi: 10.4103/jcis.JCIS_43_17. eCollection 2017.

Abstract

Primary perivascular epithelioid cell tumor (PEComa) of the liver is a very rare tumor that originates from mesenchyma. Gastrointestinal tract with perivascular distribution is the most common anatomic sites of these tumors. Only few cases of hepatic PEComa have been described so far. Malignant PEComas exhibit aggressive behavior with poor prognosis, making early diagnosis crucial. Hereby, we report a 79-year-old female with unusually located mass in the liver. A partial curative hepatectomy has been done, and PEComa was diagnosed histopathologically. No evidence of recurrence was observed during the 6-month follow-up.

摘要

肝脏原发性血管周上皮样细胞肿瘤(PEComa)是一种非常罕见的起源于间充质的肿瘤。胃肠道伴血管周围分布是这些肿瘤最常见的解剖部位。迄今为止,仅有少数肝脏PEComa病例被描述。恶性PEComa表现出侵袭性生物学行为且预后较差,因此早期诊断至关重要。在此,我们报告一例79岁女性,其肝脏出现位置异常的肿块。已实施部分根治性肝切除术,经组织病理学诊断为PEComa。在6个月的随访期间未观察到复发迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daa0/5615861/1ff4f822376a/JCIS-7-36-g002.jpg

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