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一例酷似恶性肿瘤的肝紫癜病的影像学表现。

Imaging findings of a case of peliosis hepatis mimicking malignancies.

作者信息

Pucci Noemi, Chirico Flavia, Pitaro Maria, Picchi Eliseo, Da Ros Valerio, Ferrazzoli Valentina, Toti Luca, Minosse Silvia, Garaci Francesco, Giuliano Francesca Di

机构信息

Diagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Viale Oxford 81, Rome 00133, Italy.

Neuroradiology Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Via Montpellier 1, Rome 00133, Italy.

出版信息

Radiol Case Rep. 2024 Jul 20;19(10):4177-4183. doi: 10.1016/j.radcr.2024.06.064. eCollection 2024 Oct.

Abstract

Peliosis hepatis (PH) is a rare benign pathological entity characterised by dilatation of the hepatic sinusoids. It has been reported to be associated with infection or malignancy, but the aetiology of PH remains unknown. Distinguishing PH from other malignancies can be difficult on imaging studies. This case report describes the incidental finding of PH in a patient undergoing a cardiac computed tomography (CT) scan at our institution. The CT scan incidentally revealed areas of altered density in the liver on the abdominal scans, requiring detailed liver diagnostic studies for better characterisation.

摘要

肝紫癜病(PH)是一种罕见的良性病理实体,其特征为肝血窦扩张。据报道,它与感染或恶性肿瘤有关,但PH的病因仍不清楚。在影像学检查中,将PH与其他恶性肿瘤区分开来可能很困难。本病例报告描述了在我们机构接受心脏计算机断层扫描(CT)的一名患者中偶然发现PH的情况。腹部扫描的CT偶然发现肝脏密度改变区域,需要进行详细的肝脏诊断研究以更好地明确特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/211e/11295492/c7a6394ecfff/gr1.jpg

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