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肝硬化中除肝细胞癌外的局灶性肝病变:诊断挑战

Focal Liver Lesions other than Hepatocellular Carcinoma in Cirrhosis: Diagnostic Challenges.

作者信息

Möller Kathleen, Safai Zadeh Ehsan, Görg Christian, Dong Yi, Cui Xinwu, Lim Adrian, de Molo Chiara, Serra Carla, Martín Algíbez Ana, Berzigotti Analisa, Piscaglia Fabio, Faiss Siegbert, Dietrich Christoph F

机构信息

SANA Hospital Lichtenberg, Medical Department I/Gastroenterology, Berlin 10365, Germany.

Interdisciplinary Center of Ultrasound Diagnostics, University Hospital Giessen and Marburg, Philipps University Marburg, Marburg 35033, Germany.

出版信息

J Transl Int Med. 2023 Jan 13;10(4):308-327. doi: 10.2478/jtim-2022-0068. eCollection 2022 Dec.

Abstract

Liver cirrhosis is associated with regenerative nodules and an increased risk of developing hepatocellular carcinoma (HCC). However, other benign and malignant liver lesions may also occur. Differentiating the other lesions from HCC is important for further therapeutic decisions. This review discusses the characteristics of non-HCC liver lesions in cirrhosis and their consequent appearance on contrast-enhanced ultrasonography (CEUS) with consideration of other imaging. Knowledge of this data would be helpful in avoiding misdiagnoses.

摘要

肝硬化与再生结节相关,且发生肝细胞癌(HCC)的风险增加。然而,其他良性和恶性肝脏病变也可能出现。将其他病变与HCC区分开来对于进一步的治疗决策很重要。本综述讨论了肝硬化中非HCC肝脏病变的特征及其在对比增强超声(CEUS)上的表现,并考虑了其他影像学检查。了解这些数据将有助于避免误诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f7/9969567/ac785ac32cf4/jtim-10-308-g001.jpg

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