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并非罕见：一例具有非典型影像学特征的肝上皮样血管内皮瘤病例

Beyond Rare: A Case of Hepatic Epithelioid Hemangioendothelioma with Atypical Imaging Features.

作者信息

Rezvan Sajjad, Pezeshki-Modaress Mehdi, Bozorgi Vida, Khajeh Azad Nazanin, Ghoddoosi Mahdieh, Noori Enayatollah, Najafi Nourallah

机构信息

Department of Radiology, School of Medicine, Qom University of Medical Sciences, Qom, Iran.

Department of Internal Medicine, School of Medicine, Gastroenterology and Hepatology Diseases Research Center, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran.

出版信息

Middle East J Dig Dis. 2025 Apr;17(2):143-147. doi: 10.34172/mejdd.2025.420. Epub 2025 Apr 30.

DOI:10.34172/mejdd.2025.420
PMID:40994806
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12456164/
Abstract

Epithelioid hemangioendothelioma (EHE) is a rare vascular tumor that can affect various organs. This report describes a 65-year-old woman who presented with abdominal pain, weight loss, and elevated liver enzymes. After the diagnostic workup, a percutaneous biopsy of the liver lesions showed histological changes in EHE. What stands out in this case is that imaging studies revealed multiple cystic lesions with fluid-fluid levels, even though such manifestation is not typically seen in this disease. This case emphasizes the importance of considering EHE in the differential diagnosis of hepatic lesions, even in atypical presentations.

摘要

上皮样血管内皮瘤（EHE）是一种可累及多种器官的罕见血管肿瘤。本报告描述了一名65岁女性，她出现腹痛、体重减轻和肝酶升高。经过诊断检查，对肝脏病变进行经皮活检显示为EHE的组织学改变。该病例的突出之处在于，影像学研究显示有多个伴有液-液平面的囊性病变，尽管这种表现通常在该疾病中未见。该病例强调了即使在非典型表现中，在肝脏病变的鉴别诊断中考虑EHE的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff5/12456164/b392fdd99f57/mejdd-17-143-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff5/12456164/592b275ea10d/mejdd-17-143-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff5/12456164/4164847ccb59/mejdd-17-143-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff5/12456164/330a61e287eb/mejdd-17-143-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff5/12456164/9db532df0164/mejdd-17-143-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff5/12456164/b392fdd99f57/mejdd-17-143-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff5/12456164/592b275ea10d/mejdd-17-143-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff5/12456164/4164847ccb59/mejdd-17-143-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff5/12456164/330a61e287eb/mejdd-17-143-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff5/12456164/9db532df0164/mejdd-17-143-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff5/12456164/b392fdd99f57/mejdd-17-143-g005.jpg

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