7个肝脏边缘的肿瘤,您能诊断对几个?

2017-11-09 佚名 爱肝一生微课堂

肝脏边缘性肿瘤的诊断思路:定位:(1)肝脏来源(2)非肝脏来源

肝脏边缘性肿瘤的诊断思路

定位:

(1)肝脏来源

(2)非肝脏来源

定性:

肝脏来源:血管瘤、肝腺瘤、肝癌、肝母细胞瘤、淋巴瘤

非肝脏来源:淋巴瘤、间质瘤、胆源性肿瘤、肠源性肿瘤、胰源性肿瘤、肾及肾上腺源性肿瘤

让我们来看几个小病例

肝脏血管



边界较清,密度较均匀,可见分隔

强化特征:“早出晚归” ,边缘先强化,呈结节状或花环状,逐渐向中心蔓延

肝脏腺瘤











多认为与口服避孕药有密切关系

肝细胞腺瘤(肝腺瘤),来自肝细胞

胆管腺瘤和胆管囊腺瘤,来自胆管上皮

混合型腺瘤多呈圆形低密度影,边缘光滑,有包膜,增强多均匀强化

肝癌









多层面多灶性坏死

增强扫描“快进快出”

肝脏神经内分泌癌












较少见,占所有肝肿瘤的l%一5%

神经内分泌临床表现:

肝内不均匀低密度肿块,常见坏死液化区

肿瘤广泛出血坏死可形成巨大囊实性肿块

动态增强早期肿瘤为不均匀增强,晚期肿瘤逐步转变为等密度及低密度

胆囊癌



常位于胆囊窝内,密度不均匀,与肝脏分界不清

增强呈不均匀强化,坏死常见

肝浸润、转移或腹腔、腹膜后淋巴结转移常见

神经母细胞瘤





多发生在婴幼儿,恶性程度很高

半数以上发生在肾上腺髓质

巨大肿块,密度不均,其内可见钙化

肝肾多呈受压改变,若侵犯则边界不清

增强多呈不均匀强化,周围血管包绕或受压

肾上腺皮脂腺瘤









良性肿瘤,分泌醛固酮

多单发,有完整包膜,边界清

无功能性腺瘤可生长较大

增强多呈轻-中度强化

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (3)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=260258, encodeId=27f62602586c, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好!, createdTime=Fri Nov 10 10:52:11 CST 2017, time=2017-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260226, encodeId=63b9260226e8, content=是很好的学习材料.不错.以后会多学习., beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Fri Nov 10 08:31:13 CST 2017, time=2017-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260122, encodeId=f23a26012249, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Fri Nov 10 00:19:50 CST 2017, time=2017-11-10, status=1, ipAttribution=)]
    2017-11-10 明天会更好!

    学习了新知识

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=260258, encodeId=27f62602586c, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好!, createdTime=Fri Nov 10 10:52:11 CST 2017, time=2017-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260226, encodeId=63b9260226e8, content=是很好的学习材料.不错.以后会多学习., beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Fri Nov 10 08:31:13 CST 2017, time=2017-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260122, encodeId=f23a26012249, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Fri Nov 10 00:19:50 CST 2017, time=2017-11-10, status=1, ipAttribution=)]
    2017-11-10 李东泽

    是很好的学习材料.不错.以后会多学习.

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=260258, encodeId=27f62602586c, content=学习了新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, createdName=明天会更好!, createdTime=Fri Nov 10 10:52:11 CST 2017, time=2017-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260226, encodeId=63b9260226e8, content=是很好的学习材料.不错.以后会多学习., beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Fri Nov 10 08:31:13 CST 2017, time=2017-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=260122, encodeId=f23a26012249, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzR8ylhYfiaoAUx2BsaYHVia1IKhG3Cg8CT84rBrn6iaVRkyAibJxBcLEXabOQ5p19vWgDe34ib5ErxNgx/0, createdBy=8a701629084, createdName=jihuaijun1112, createdTime=Fri Nov 10 00:19:50 CST 2017, time=2017-11-10, status=1, ipAttribution=)]
    2017-11-10 jihuaijun1112

    学习学习学习

    0