Wiener S N, Parulekar S G
Radiology. 1979 Jul;132(1):149-53. doi: 10.1148/132.1.149.
The clinical findings, radionuclide scintigrams, and ultrasonograms of hepatic hemangiomas are described for 11 patients. Scintigraphy frequently demonstrated a marginal or subcapsular location. The lesions were otherwise nonspecific in appearance and were indistinguishable from metastatic foci. Sonographically, hypoechoic, hyperechoic, and predominantly anechoic patterns were observed, not unlike those described for malignant foci. However, 7 hemangiomas had a central linear septum. Liver function tests were normal in all patients. Since percutaneous biopsy is hazardous and hepatic angiography usually diagnostic, the scintigraphic and ultrasonic appearances described may help in the selection of the appropriate investigative studies.
本文描述了11例肝血管瘤患者的临床症状、放射性核素闪烁扫描图及超声检查结果。闪烁扫描常常显示病变位于肝边缘或包膜下。病变在外观上无特异性，与转移灶难以区分。超声检查可见低回声、高回声及以无回声为主的图像，与恶性病灶所见相似。然而，7例血管瘤有中央线性分隔。所有患者的肝功能检查均正常。由于经皮活检有风险，而肝血管造影通常可作出诊断，所以所描述的闪烁扫描及超声表现可能有助于选择合适的检查方法。
