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妊娠期间生长的炎性肝细胞腺瘤,类似于局灶性结节性增生,在分娩后其磁共振成像表现发生改变。

Inflammatory Hepatocellular Adenoma Mimicking Focal Nodular Hyperplasia That Grew during Pregnancy and Changed Its Appearance on Magnetic Resonance Imaging after Delivery.

机构信息

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Faculty of Medicine, University of Miyazaki, Japan.

Department of Pathology, Faculty of Medicine, University of Miyazaki, Japan.

出版信息

Intern Med. 2023 Nov 1;62(21):3143-3149. doi: 10.2169/internalmedicine.0967-22. Epub 2023 Apr 7.

Abstract

We reported a notable case of inflammatory hepatocellular adenoma that grew during pregnancy, consequently changing its appearance on magnetic resonance imaging remarkably. A 5-months-pregnant 35-year-old woman presented with a 37-mm liver nodule that had been diagnosed as focal nodular hyperplasia 3 years earlier. She had never used oral contraceptives. After 2 months, the nodule grew to 57 mm. The patient delivered a full-term infant without complications. Gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid-enhanced magnetic resonance imaging performed after delivery revealed markedly different findings compared with the first images. A liver biopsy was performed, and the tumor was diagnosed as inflammatory hepatocellular adenoma.

摘要

我们报告了一例妊娠期间生长的炎症性肝细胞腺瘤的显著病例,其磁共振成像表现显著改变。一位 35 岁的 5 个月孕妇,3 年前曾被诊断为局灶性结节性增生,出现一个 37mm 的肝脏结节。她从未服用过口服避孕药。2 个月后,结节长到 57mm。患者顺利分娩,无并发症。分娩后行钆喷替酸葡甲胺增强磁共振成像,与首次图像相比,发现明显不同的结果。行肝活检,诊断为炎症性肝细胞腺瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c79/10686732/f34d131bcd5c/1349-7235-62-3143-g001.jpg

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