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肝脏型恶性神经纤维瘤病(附二例报告)

Hepatic Malignant Neurofibromatosis(Report of 2 Cases)

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【作者】 和毓天李常茂阎东范承经袁曙光孙勇李伟黎冠群危群白中华施德明

【Author】 Ho Yu-tian,et al.The Second Affiliated Hospital of Kunming Medical College,Kunming(650101)

【机构】 昆明医学院第二附属医院放射科昆明医学院第二附属医院病理科昆明医学院第二附属医院检验科昆明医学院第二附属医院功能科

【摘要】 本文报告2例罕见的以肝脏病损为主的恶性神经纤维瘤病。本病主要应与原发性肝细胞癌(HCC)或肝内转移瘤鉴别。临床经过缓慢.临床检验提示肝脏恶性病变可能而不支持HCC.肝动脉造影结节内部显影浅淡,外周浓密;对碘化油显示敏感性低,且吸收块。病理确诊之前,全误诊。

【Abstract】 Two rare cases of malignant neu-rofibromatosis with principle lesion inthe liver are reported.The main dif-ferential diagnosis was made witch theprimary hepatoma or the intrahepaticmetastatic carcinoma.The clinical co-urse developed gradually.Laboratoryexaminations suggested a possibilityof malignant hepatic lesion,but notagree with hepatocellular carcinoma.Hepatic angiography showed noduleswith a much minor opacity in its cen-tral area than its periphery.Only asmall amount of iodized oil stayed fora short time in the nodules.All thetwo cases were misdiagnosed beforepathological examination.The mecha-nism of some X-ray signs is discussed.

【关键词】 神经纤维瘤病肝脏结节血管造影术
  • 【文献出处】 临床放射学杂志 ,Journal of Clinical Radiololgy , 编辑部邮箱 ,1991年05期
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