Roversi R, Rossi C, Golfieri R, Meloni T
Radiol Med. 1981 Dec;67(12):949-56.
46 cases of cavernous hemangioma of the liver, studied by angiography, are reported. Part of them were studied with echotomography and CT too, and 28 with angiotomography. In author's opinion based on experience, angiographic diagnosis of the lesion is, in presence of typical angiographic patterns, always confirmed, while echotomography and CT are not specific, especially in differential diagnosis with neoplastic malignant, primitive or secondary, hepatic lesions. Diagnostic algorithm needs, in their opinion, an initial echotomographical phase and, in presence of positive pictures for expansive hepatic mass with clinical suspicion for haemangioma, angiography and angiotomography for complete and specific diagnosis.
报告了46例经血管造影研究的肝海绵状血管瘤。其中部分病例还进行了超声断层扫描和CT检查，28例进行了血管断层扫描。根据作者的经验，在存在典型血管造影表现的情况下，该病变的血管造影诊断总能得到证实，而超声断层扫描和CT不具有特异性，尤其是在与原发性或继发性肝脏恶性肿瘤病变进行鉴别诊断时。他们认为，诊断算法需要一个初始的超声断层扫描阶段，对于临床怀疑为血管瘤的肝脏占位性病变，若超声图像呈阳性，则需进行血管造影和血管断层扫描以进行完整和特异性诊断。
