Krinsky G A, Theise N D, Rofsky N M, Mizrachi H, Tepperman L W, Weinreb J C
Department of Radiology, New York University Medical Center, NY 10016, USA.
Radiology. 1998 Nov;209(2):461-4. doi: 10.1148/radiology.209.2.9807574.
In a 65-year-old woman with cirrhosis, biphasic helical computed tomography (CT) and multiphase gadolinium-enhanced magnetic resonance (MR) imaging depicted 11 hepatic nodules that enhanced homogeneously during the hepatic arterial phase. At pathologic examination, all lesions were dysplastic nodules with unpaired hepatic arteries within. Hepatic arterial phase enhancement of cirrhotic nodules at CT and MR imaging is not diagnostic of hepatocellular carcinoma but may occur in dysplastic nodules. Results of a single biopsy yielding hepatocellular carcinoma may not be applicable to other nodules that enhance similarly.
在一名65岁的肝硬化女性患者中，双期螺旋计算机断层扫描（CT）和多期钆增强磁共振（MR）成像显示有11个肝结节在肝动脉期呈均匀强化。病理检查时，所有病变均为发育异常结节，内部有不成对的肝动脉。CT和MR成像中肝硬化结节的肝动脉期强化并非肝细胞癌的诊断依据，但可出现在发育异常结节中。单次活检结果为肝细胞癌可能不适用于其他强化方式类似的结节。
