Rodes J, Sherlock S
Hospital Clinic 1, Provincial 2 Liver Unit, Barcelona, Spain.
J Hepatol. 1998 Dec;29(6):1005-9. doi: 10.1016/s0168-8278(98)80132-3.
A 41-year-old woman, who was taking oral contraceptive drugs, presented with a symptomless hepatic mass lesion shown by abdominal ultrasound. Doppler ultrasound, computed tomography (unenhanced and enhanced with contrast) and magnetic resonance imaging after intravenous gadolinium suggested this was focal nodular hyperplasia. Ultrasound-guided liver biopsy had been performed elsewhere and was also diagnostic. The differential diagnosis of hepatic mass lesion is illustrated and particularly the distinction of focal nodular hyperplasia from adenoma. The importance of radiological imaging techniques is stressed. Clinical management is discussed.
一名41岁正在服用口服避孕药的女性，经腹部超声检查发现有无症状的肝脏肿块病变。多普勒超声、计算机断层扫描（平扫及增强扫描）以及静脉注射钆剂后的磁共振成像提示这是局灶性结节性增生。在其他地方已进行了超声引导下肝活检，其结果也具有诊断意义。文中阐述了肝脏肿块病变的鉴别诊断，特别是局灶性结节性增生与腺瘤的区别。强调了放射影像学技术的重要性。并讨论了临床处理方法。
