Alexander Lauren F, Harri Peter, Little Brent, Moreno Courtney C, Mittal Pardeep K
Department of Radiology and Imaging Sciences, Emory University School of Medicine.
Cureus. 2017 Aug 4;9(8):e1539. doi: 10.7759/cureus.1539.
Primary hepatic malignancies are less common than metastatic diseases, but a recognition of these lesions is important for diagnosis and treatment planning. Magnetic resonance imaging (MRI) provides the most imaging information to diagnose lesions noninvasively and to narrow differential diagnoses. This paper reviews the imaging findings of chronic liver disease and primary hepatic malignancies, including hepatocellular carcinoma (HCC), intrahepatic cholangiocarcinoma (CCA), epithelioid hemangioendothelioma, hepatic angiosarcoma, and primary hepatic lymphoma. Clinical and MRI features are reviewed to improve the readers' recognition of these tumors, allowing for a narrower differential diagnosis when liver masses are encountered on abdominal imaging.
原发性肝脏恶性肿瘤比转移性疾病少见,但认识这些病变对于诊断和治疗规划很重要。磁共振成像(MRI)能提供最多的成像信息,以无创方式诊断病变并缩小鉴别诊断范围。本文综述了慢性肝病和原发性肝脏恶性肿瘤的影像学表现,包括肝细胞癌(HCC)、肝内胆管癌(CCA)、上皮样血管内皮瘤、肝血管肉瘤和原发性肝脏淋巴瘤。对临床和MRI特征进行综述,以提高读者对这些肿瘤的认识,以便在腹部影像学检查发现肝脏肿块时进行更精准的鉴别诊断。