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一名乳腺癌患者出现多个肝脏肿块，是转移瘤吗？意外诊断：肝片吸虫病。土耳其的病例报告及文献综述

Multiple liver masses in a patient with breast cancer, metastasis or not? An unexpected diagnosis: hepatic fascioliasis. A case report and overview of the literature from Turkey.

作者信息

Damar Çağri, Emek Arif Emre, Uçar Hüseyin, Erdal Harun, Conkbayir Işik, Öztunali Çiğdem

机构信息

Department of Radiology, Gazi University, Ankara, Turkey.

Department of Radiolology, Civril Government Hospital, Denizli, Turkey.

出版信息

BJR Case Rep. 2016 May 8;2(3):20160038. doi: 10.1259/bjrcr.20160038. eCollection 2016.

DOI:10.1259/bjrcr.20160038
PMID:30363979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6183218/
Abstract

A patient who underwent mastectomy of the left breast owing to breast cancer was referred to our department for abdominal ultrasonography during her routine check-up. Radiological examinations demonstrated multiple masses that tended to form clusters in the liver parenchyma, and the lesions were initially thought to represent metastases from the breast cancer. Multisite biopsies and serological tests confirmed the diagnosis of infestation. To our knowledge, this is a unique case report of a patient with a known malignant neoplasm. We also present an overview of the literature about human fascioliasis in Turkey.

摘要

一名因乳腺癌接受左侧乳房切除术的患者在常规检查期间被转诊至我院进行腹部超声检查。影像学检查显示肝脏实质内有多个倾向于聚集成簇的肿块，这些病变最初被认为是乳腺癌转移灶。多部位活检和血清学检查确诊为感染。据我们所知，这是一例已知恶性肿瘤患者的独特病例报告。我们还概述了土耳其关于人体肝片吸虫病的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/8f9e68226bc1/bjrcr.20160038.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/0ef73be40040/bjrcr.20160038.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/9e56fd515156/bjrcr.20160038.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/536d428d8200/bjrcr.20160038.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/7b20c68a5a54/bjrcr.20160038.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/c8f037068e33/bjrcr.20160038.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/8f9e68226bc1/bjrcr.20160038.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/0ef73be40040/bjrcr.20160038.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/9e56fd515156/bjrcr.20160038.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/536d428d8200/bjrcr.20160038.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/7b20c68a5a54/bjrcr.20160038.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/c8f037068e33/bjrcr.20160038.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5ef/6183218/8f9e68226bc1/bjrcr.20160038.g006.jpg

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2
An incidental case of biliary fascioliasis mimicking cholangiocellular carcinoma.一例误诊为胆管细胞癌的肝片吸虫病偶然病例。
Infez Med. 2014 Dec;22(4):313-6.
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Sonographic findings of hepatobiliary fascioliasis accompanied by extrahepatic expansion and ectopic lesions.
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Fasciola hepatica infection at a University Clinic in Turkey.土耳其一家大学诊所的肝片吸虫感染情况。
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Cholestasis caused by Fasciola gigantica.由巨片形吸虫引起的胆汁淤积。
Turkiye Parazitol Derg. 2014;38(3):201-4. doi: 10.5152/tpd.2014.3212.
6
A case of Fasciola hepatica infection mimicking cholangiocarcinoma and ITS-1 sequencing of the worm.一例酷似胆管癌的肝片吸虫感染病例及该虫的内转录间隔区1（ITS-1）测序
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Fasciola hepatica infection: clinical and radiological findings in pediatric patients.肝片吸虫感染：儿科患者的临床和放射学表现
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The value of micro-ELISA test in the diagnosis of Fasciola hepatica infection.微量酶联免疫吸附测定法在肝片吸虫感染诊断中的价值。
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