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肝脏多灶性结节性脂肪浸润:一种酷似肝转移瘤的罕见良性疾病。

Multifocal Nodular Fatty Infiltration of the Liver: A Rare Benign Disorder That Mimics Metastatic Liver Disease.

作者信息

Dreifuss Nicolas H, Ramallo Dario, McCormack Lucas

机构信息

Liver Surgery and Transplantation Unit, Department of Surgery, Hospital Alemán, Buenos Aires, Argentina.

Hepato-Pancreato-Biliary Surgery and Abdominal Organ Transplantation Fellow, Hospital Alemán, Buenos Aires, Argentina.

出版信息

ACG Case Rep J. 2021 Feb 22;8(2):e00537. doi: 10.14309/crj.0000000000000537. eCollection 2021 Feb.

Abstract

Fatty liver disease is a frequent diagnosis. Rarely, it adopts a multifocal nodular pattern mimicking multiple liver metastases. Multifocal nodular fatty infiltration of the liver entails a challenging problem that must be included as a differential diagnosis when dealing with healthy patients with an incidental finding of multiple liver lesions, even in the absence of obesity or metabolic syndrome. A complete clinical examination and high-quality imaging, including magnetic resonance imaging, might help to confirm diagnosis and to avoid unnecessary liver biopsies.

摘要

脂肪肝是一种常见的诊断。极少数情况下,它会呈现多灶性结节模式,类似多发性肝转移瘤。肝脏的多灶性结节性脂肪浸润带来了一个具有挑战性的问题,在处理偶然发现有多个肝脏病变的健康患者时,即使没有肥胖或代谢综合征,也必须将其纳入鉴别诊断。全面的临床检查和高质量的影像学检查,包括磁共振成像,可能有助于确诊并避免不必要的肝活检。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3438/7901816/7f03b040b62f/ac9-8-e00537-g001.jpg

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