CAJ | 학술논문

目的探讨肝、肾血管平滑肌脂肪瘤即错构瘤的临床特点、影像诊断以及鉴别诊断.方法回顾性分析1例51岁女性患者肝、肾错构瘤的临床资料,结合文献报道,对其临床表现、影像特点进行探讨.结果腹部CT平扫示肝右叶一巨大低密度占位,增强扫描动静脉期自周缘向中心渐进性填充.两肾体积明显增大,呈大小不等、形态各异的蜂巢状混杂密度,可见斑块状、条索状的脂肪密度,增强扫描正常皮髓结构消失,蜂巢壁明显强化,其内见未强化区,双肾动静脉明显受压、移位.结论肝、肾错构瘤与肝、肾其它良性、恶性病变相比,影像表现较典型,但确诊多数只能通过病理组织学方法.
목적 탐토간、신혈관평활기지방류즉착구류적림상특점、영상진단이급감별진단.방법 회고성분석1례51세녀성환자간、신착구류적림상자료,결합문헌보도,대기림상표현、영상특점진행탐토.결과 복부CT평소시간우협일거대저밀도점위,증강소묘동정맥기자주연향중심점진성전충.량신체적명현증대,정대소불등、형태각이적봉소상혼잡밀도,가견반괴상、조색상적지방밀도,증강소묘정상피수결구소실,봉소벽명현강화,기내견미강화구,쌍신동정맥명현수압、이위.결론 간、신착구류여간、신기타량성、악성병변상비,영상표현교전형,단학진다수지능통과병리조직학방법.
Objective To investigate the imaging manifestations and clinical features of hepatic and renal angiomyolipoma. Meth-ods The clinical data and imaging findings of hepatic and renal angiomyolipoma in a 51-year-old woman was retrospectively ana-lyzed with literature review. Results CT scan showed a large polymorphous hypodense mass in the right lobe of liver. After contrast -enhanced CT scan, the mass was enhanced gradually from periphery to ceritre. Bilateral kidneys obviously enlarged and appeared as alveolate appearance mixed density with spotty and stripped fat structures. At contrast-enhanced scan, the normal structures of cor-tex and medulla were disappeared, the alveolate walls were enhanced obviously. The arteries and veins of bilateral kidneys were com-pressed and displaced. Conclusion The imaging features of liver and kidney are of certain characteristic compared with other benign and malignant masses,but the final diagnosis of it is still depending on pathology mostly.