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注入钍造影剂后发生的肝静脉闭塞病和肝紫癜病。

Veno-occlusive disease and peliosis of the liver after thorotrast administration.

作者信息

Dejgaard A, Krogsgaard K, Jacobsen M

出版信息

Virchows Arch A Pathol Anat Histopathol. 1984;403(1):87-94. doi: 10.1007/BF00689341.

Abstract

A case of veno-occlusive disease and peliosis of the liver without coexisting liver malignancy 35 years after thorotrast administration is presented. In the liver four main widely distributed lesions were found: Veno-occlusive disease (VOD), peliosis, fibrosis and thorotrast deposits. Whether the VOD and the peliotic lesions are pathogenetically related or totally independent cannot be determined in the present case. However, the VOD and the peliosis are possibly related to the protracted alpha-emitting effect of thorotrast deposited in the liver parenchyma.

摘要

本文报告了1例在注入钍造影剂35年后发生的肝静脉闭塞病和肝紫癜病,且无并存肝恶性肿瘤的病例。在肝脏中发现了4种主要广泛分布的病变:肝静脉闭塞病(VOD)、肝紫癜、纤维化和钍造影剂沉积。在本病例中,无法确定VOD和紫癜性病变在发病机制上是相关的还是完全独立的。然而,VOD和肝紫癜可能与沉积在肝实质中的钍造影剂的长期α射线发射效应有关。

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