Duong Huy Quang, Kajiura Shinya, Truong Tien Dinh, Ngo Minh Tuan, Nguyen Khai Xuan, Pham Hung Khanh, Ta Thang Ba, Nguyen Dung Tien, Hayashi Ryuji
Department of Gastroenterology, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam.
Department of Clinical Oncology, Toyama University Hospital, Toyama, Japan.
Radiol Case Rep. 2023 Dec 15;19(3):850-854. doi: 10.1016/j.radcr.2023.11.040. eCollection 2024 Mar.
Multifocal fatty liver nodules can present a diagnostic challenge due to their resemblance to metastatic liver disease. This case report illustrates the complexity of such scenarios through the presentation of a middle-aged male patient. Despite the common nature of fatty liver disease, characterized by hepatocyte fat accumulation leading to diffuse and uniform liver lesions, rare instances exhibit heterogeneous appearances. The case underlines the potential confusion arising from imaging modalities when multiple small nodules disperse throughout the liver, mimicking multifocal tumors or metastases. The report emphasizes the critical role of comprehensive diagnostic procedures in preventing misdiagnosis and unwarranted interventions. Effective management hinges on multidisciplinary collaboration among specialists, ensuring accurate differentiation and appropriate treatment. This study serves as a reminder of the intricacies involved in interpreting multifocal fatty liver nodules that may masquerade as metastatic disease, highlighting the need for precision in clinical practice.
多灶性脂肪肝结节因其与肝转移瘤相似，可能带来诊断挑战。本病例报告通过一名中年男性患者的病例展示了此类情况的复杂性。尽管脂肪肝疾病较为常见，其特征是肝细胞脂肪堆积导致肝脏弥漫性和均匀性病变，但罕见情况下会呈现异质性表现。该病例突显了在多个小结节散布于肝脏，酷似多灶性肿瘤或转移瘤时，成像方式可能引发的混淆。报告强调了全面诊断程序在防止误诊和不必要干预方面的关键作用。有效管理取决于专家之间的多学科协作，以确保准确鉴别和恰当治疗。本研究提醒人们注意解读可能伪装成转移性疾病的多灶性脂肪肝结节所涉及的复杂性，凸显了临床实践中精准诊断的必要性。
