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肝脏血管平滑肌脂肪瘤的B超、超声造影与磁共振成像对比:病例报告

B-mode and contrast-enhanced ultrasound versus magnetic resonance imaging in hepatic angiomyolipoma: a case report.

作者信息

Balbinot Andrea, Bakken Sofia Maria, Venturoli Nicola, Malvi Deborah, Albertini Elisa, Pirini Maria Giulia, D'Errico Antonietta, Serra Carla

机构信息

Cardiovascular Medicine Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.

出版信息

J Ultrasound. 2025 Apr 28. doi: 10.1007/s40477-025-01015-w.

DOI:10.1007/s40477-025-01015-w
PMID:40293674
Abstract

Angiomyolipoma is a solid mesenchymal tumour that usually affects the kidney. Hepatic localization of angiomyolipoma (HAML) is rare and usually asymptomatic however it presents a challenging differential diagnosis. We present the case of a 45-year-old man affected by tuberous sclerosis complex type 2 (TSC2) and an hepatic lesion suspected to be hepatocellular carcinoma on magnetic resonance but whose Bmode ultrasound and contrast-enhanced ultrasound (CEUS) findings were consistent with benignity, as confirmed by histology.

摘要

血管平滑肌脂肪瘤是一种通常累及肾脏的实性间叶组织肿瘤。肝脏血管平滑肌脂肪瘤(HAML)定位罕见且通常无症状,但它的鉴别诊断具有挑战性。我们报告了一例45岁男性患者,患有2型结节性硬化症(TSC2),其肝脏病变在磁共振成像上疑似肝细胞癌,但B超和超声造影(CEUS)检查结果显示为良性,组织学检查也证实了这一点。

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本文引用的文献

1
Hepatic Angiomyolipoma: Clinical Features and Imaging Findings of Quantitative Contrast-Enhanced Ultrasound Perfusion Analysis and Magnetic Resonance Imaging.肝血管平滑肌脂肪瘤:定量对比增强超声灌注分析与磁共振成像的临床特征及影像表现
J Ultrasound Med. 2020 Nov;39(11):2111-2122. doi: 10.1002/jum.15316. Epub 2020 May 8.
2
Contrast-Enhanced Ultrasound Findings and Differential Diagnosis of Hepatic Epithelioid Angiomyolipoma Compared with Hepatocellular Carcinoma.肝上皮样血管平滑肌脂肪瘤与肝细胞癌的超声造影表现及鉴别诊断。
Ultrasound Med Biol. 2020 Jun;46(6):1403-1411. doi: 10.1016/j.ultrasmedbio.2020.02.001. Epub 2020 Mar 10.
3
Imaging hepatic angiomyolipomas: key features and avoiding errors.
肝脏血管平滑肌脂肪瘤的影像学表现:关键特征与误诊防范。
Clin Radiol. 2020 Feb;75(2):88-99. doi: 10.1016/j.crad.2019.09.135. Epub 2019 Oct 31.
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The differential enhancement pattern of contrast enhanced ultrasound and magnetic resonance imaging characteristics in hepatic angiomyolipoma: 7 case reports.肝脏血管平滑肌脂肪瘤的超声造影与磁共振成像特征的对比增强模式:7 例报告。
Clin Hemorheol Microcirc. 2019;71(1):17-26. doi: 10.3233/CH-170317.
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Renal angiomyolipoma: a radiological classification and update on recent developments in diagnosis and management.肾血管平滑肌脂肪瘤:放射学分类及诊断与治疗最新进展
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Tuberous sclerosis.结节性硬化症
Lancet. 2008 Aug 23;372(9639):657-68. doi: 10.1016/S0140-6736(08)61279-9.
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Management of hepatic angiomyolipoma.肝血管平滑肌脂肪瘤的管理
J Gastrointest Surg. 2007 Apr;11(4):452-7. doi: 10.1007/s11605-006-0037-3.
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Strong association of HMB-45 expression with renal angiomyolipoma.
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