Presedo A, Martínez-Ibáñez V, Castellote A, Lucaya X, Sánchez de Toledo J, Marqués A, Boix-Ochoa J
Departmento de Cirugía Pediátrica, HUMI Vall d'Hebrón, Barcelona.
Cir Pediatr. 1996 Apr;9(2):51-4.
We report a restrospective study about 11 patients (9 girls) referred from 1980 through 1994. We undertook this study to determine the efficiency of several methods for diagnosis and treatment. We performed ultrasound, computerized tomography (CT) in each one and magnetic resonance (MR) in 4 cases. Six patients were prescribed steroids, 4 cases were not treated and one patient was operated. A solid lesion with variable ecotexture is noted at ultrasound. CT typically shows a low-attenuation solid lesion with peripheral enhancement. At MR imaging performed with T2-weighted pulse secuences the lesion usually has high signal intensity. We obtained completed remission in 5 cases, one patient was out of control and in the other 5 the sonography showed marked regression in tumor size. We believe CT is an specific method for diagnosis hemangioendothelioma. Sonographic control or steroids must be the initial therapy.
我们报告了一项对1980年至1994年间转诊的11例患者（9名女孩）的回顾性研究。我们进行这项研究以确定几种诊断和治疗方法的有效性。我们对每位患者进行了超声、计算机断层扫描（CT）检查，4例患者进行了磁共振（MR）检查。6例患者使用了类固醇，4例未接受治疗，1例患者接受了手术。超声检查发现一个具有可变回声纹理的实性病变。CT通常显示一个低衰减实性病变，周边有强化。在使用T2加权脉冲序列进行的MR成像中，病变通常具有高信号强度。我们在5例患者中获得了完全缓解，1例患者病情失控，另外5例患者的超声检查显示肿瘤大小明显缩小。我们认为CT是诊断血管内皮瘤的一种特异性方法。超声监测或类固醇治疗必须作为初始治疗方法。
