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肝外先天性门体分流栓塞缩小增大的肝结节

Shrinkage of Enlarged Hepatic Nodules by an Embolizing Congenital Extrahepatic Portosystemic Shunt.

机构信息

Department of Gastroenterology, Faculty of Medicine, University of Tsukuba, Japan.

Department of Radiology, Faculty of Medicine, University of Tsukuba, Japan.

出版信息

Intern Med. 2024 May 1;63(9):1237-1242. doi: 10.2169/internalmedicine.2267-23. Epub 2023 Sep 8.

DOI:10.2169/internalmedicine.2267-23
PMID:37690846
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11116023/
Abstract

A 38-year-old woman was admitted to our university hospital with loss of muscle strength. She was diagnosed with dermatomyositis and underwent contrast-enhanced computed tomography of the entire body to check for malignant tumors. Computed tomography revealed multiple enhanced hepatic nodules and an extrahepatic portosystemic shunt. Although a needle biopsy of the nodule could not diagnose definitive hepatocellular carcinoma, some nodules increased in size after three months. Because of the inconclusive results of the second biopsy, we performed shunt embolization using a vascular plug. After another three months, the hepatic nodules shrank markedly, as expected.

摘要

一位 38 岁女性因肌肉无力入住我院。诊断为皮肌炎，行全身增强 CT 检查以排除恶性肿瘤。CT 显示多个肝内强化结节和肝外门体分流。虽然结节的针吸活检不能明确诊断为肝细胞癌，但有些结节在 3 个月后增大。由于第二次活检结果不确定，我们使用血管塞进行了分流栓塞。又过了 3 个月，正如预期的那样，肝内结节明显缩小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/fe9ab02283f3/1349-7235-63-1237-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/c1d4144eea36/1349-7235-63-1237-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/8b5e03a3e9fb/1349-7235-63-1237-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/1be909fd4156/1349-7235-63-1237-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/6ac541cb1e72/1349-7235-63-1237-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/0706cf9110d6/1349-7235-63-1237-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/fe9ab02283f3/1349-7235-63-1237-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/c1d4144eea36/1349-7235-63-1237-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/8b5e03a3e9fb/1349-7235-63-1237-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/1be909fd4156/1349-7235-63-1237-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/6ac541cb1e72/1349-7235-63-1237-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/0706cf9110d6/1349-7235-63-1237-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e95/11116023/fe9ab02283f3/1349-7235-63-1237-g006.jpg

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本文引用的文献

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Cancers (Basel). 2022 Aug 18;14(16):3997. doi: 10.3390/cancers14163997.
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Abernethy malformation: A comprehensive review.Abernethy 畸形：全面综述。
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Intern Med. 2021 Jun 15;60(12):1839-1845. doi: 10.2169/internalmedicine.5914-20. Epub 2021 Jan 15.
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