Wishnow K I, Charnsangavej C, Babaian R J
Department of Urology, University of Texas M. D. Anderson Cancer Center, Houston.
Urology. 1989 Mar;33(3):250-2. doi: 10.1016/0090-4295(89)90405-6.
Making the distinction between a benign hepatic mass and renal cell carcinoma metastatic to the liver is crucial in evaluating a patient with renal cell carcinoma. The erroneous diagnosis of metastatic renal cell carcinoma may deter the surgeon from performing a potentially curative nephrectomy. In this report, we present 1 patient with cavernous hemangiomas and another patient with focal nodular hyperplasia of the liver. In each case the benign liver lesion was incorrectly diagnosed initially as metastatic renal cell carcinoma. The radiographic appearance of these lesions is discussed in detail.
区分肝脏良性肿块和肾细胞癌肝转移对于评估肾细胞癌患者至关重要。肾细胞癌转移的错误诊断可能会使外科医生放弃进行潜在治愈性肾切除术。在本报告中,我们介绍了1例患有海绵状血管瘤的患者和另1例患有肝脏局灶性结节性增生的患者。在每种情况下,这些肝脏良性病变最初都被错误地诊断为肾细胞癌肝转移。本文将详细讨论这些病变的影像学表现。