Arsenault T M, Johnson C D, Gorman B, Burgart L J
Department of Diagnostic Radiology, Mayo Clinic Rochester, Minnesota 55905, USA.
Mayo Clin Proc. 1996 May;71(5):478-80. doi: 10.4065/71.5.478.
This case report describes a 41-year-old woman with hepatic adenomatosis (multiple hepatic adenomas) associated with acute hemorrhage. She had no history of oral contraceptive use or corticosteroid therapy. Ultrasonography showed multiple masses in the right lobe of the liver. The clinical associations and potential complications of hepatocellular adenomas are discussed, and the histologic characteristics are provided. Their typical appearance on computed tomography, ultrasonography, magnetic resonance imaging, and nuclear scintigraphy is described. The differential diagnosis of hepatic adenomatosis and multiple solid liver masses is discussed.
本病例报告描述了一名41岁患有肝腺瘤病(多发性肝腺瘤)并伴有急性出血的女性。她没有口服避孕药或皮质类固醇治疗史。超声检查显示肝脏右叶有多个肿块。文中讨论了肝细胞腺瘤的临床关联和潜在并发症,并提供了组织学特征。描述了它们在计算机断层扫描、超声检查、磁共振成像和核闪烁扫描上的典型表现。还讨论了肝腺瘤病与肝脏多个实性肿块的鉴别诊断。