Weber T, Braun B, Klusemann H, Beyer J
Dtsch Med Wochenschr. 1981 May 15;106(20):647-51. doi: 10.1055/s-2008-1070372.
In two female patients with hypothalamic-hypophyseal Cushing's syndrome who had not taken oral contraceptives, upper abdominal sonography showed three liver tumours as chance findings. In one case the left lobe was involved alone and in one case both lobes. None of the three tumours could be demonstrated by means of computer assisted tomography. Autopsy in one case and liver arteriography and scan in other other led to the diagnosis of focal nodular hyperplasia of the liver. These cases demonstrate the importance of sonography in the recognition of liver tumours. A connection between the overpopulation of adrenocorticosteroids and the formation or enlargement of focal nodular hyperplasia of the liver cannot be excluded.
在两名未服用口服避孕药的下丘脑 - 垂体性库欣综合征女性患者中,上腹部超声检查偶然发现了三个肝脏肿瘤。其中一例仅左叶受累,另一例两叶均受累。计算机辅助断层扫描未能显示这三个肿瘤中的任何一个。一例进行了尸检,另一例进行了肝脏动脉造影和扫描,最终诊断为肝脏局灶性结节性增生。这些病例证明了超声检查在识别肝脏肿瘤方面的重要性。不能排除肾上腺皮质类固醇过多与肝脏局灶性结节性增生的形成或增大之间存在关联。