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MRI 上表现为良性局灶性肝病变的原发性肝癌。

Benign focal liver lesions masquerading as primary liver cancers on MRI.

机构信息

Department of Diagnostic Radiology, Tan Tock Seng Hospital, Novena, Singapore.

Department of Diagnostic Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.

出版信息

Diagn Interv Radiol. 2020 May;26(3):168-175. doi: 10.5152/dir.2019.19235.

Abstract

Hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (ICC) are the most common primary liver malignancies. HCC and ICC have characteristic imaging findings, but a number of benign entities can appear similar and can cause diagnostic dilemma. Ideally, accurate and timely diagnosis of these conditions can help the patient to avoid a needle biopsy or even unnecessary treatment. In this article, we present various benign liver lesions that display imaging characteristics that are similar to HCC and ICC on magnetic resonance imaging (MRI) and discuss salient features that may assist in accurate diagnosis.

摘要

肝细胞癌(HCC)和肝内胆管细胞癌(ICC)是最常见的原发性肝脏恶性肿瘤。HCC 和 ICC 具有特征性的影像学表现,但许多良性病变也可能表现相似,导致诊断困难。理想情况下,准确和及时地诊断这些疾病可以帮助患者避免进行针吸活检,甚至避免不必要的治疗。在本文中,我们介绍了各种良性肝脏病变,它们在磁共振成像(MRI)上显示出与 HCC 和 ICC 相似的影像学特征,并讨论了有助于准确诊断的显著特征。

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