肝上皮样血管内皮瘤的常规超声及超声造影特征分析

发布时间：2018-05-29 00:36

本文选题：肝脏 + 上皮样血管内皮瘤　；参考：《四川大学学报(医学版)》2017年04期

【摘要】：目的探讨肝上皮样血管内皮瘤(hepatic epithelioid hemangioendothelioma,HEHE)的常规超声及超声造影(CEUS)表现特征。方法回顾性分析2012年1月至2016年9月在我院经手术或肝穿活检病理证实为HEHE的17例患者资料,对患者的一般临床资料、常规超声及超声造影的声像图特征进行分析。结果17例HEHE患者中,男7例,女10例,年龄23~69岁,平均年龄(42.88±13.95)岁。常规超声显示11例(11/17,64.7%)为多发病灶,其中10例累及全肝,6例(6/17,35.3%)为单发;15例(15/17,88.2%)病灶位于肝包膜下;病灶平均直径(3.93±2.23)cm;声像图上表现为低回声、混合回声、高回声病灶分别为13例(13/17,76.5%)、3例(3/17,17.6%)、1例(1/17,5.9%);10例(10/17,58.8%)病灶边界清楚,7例(7/17,41.2%)边界不清;16例(16/17,94.1%)病灶的形态规则。7例行超声造影检查,5例(5/7,71.4%)动脉期表现为环状高增强;2例(2/7,28.6%)为整体高增强,内部强化不均匀。所有病例(7/7,100%)在门脉期及延迟期均表现为低增强。结论声像图上表现为肝包膜下多发、形态规则的低回声肿块要考虑到HEHE的可能,CEUS有助于诊断及鉴别诊断。
[Abstract]:Objective to investigate the features of hepatic epithelioid hemangioendothelioma (epithelioid) by conventional ultrasonography and contrast-enhanced echocardiography (CEUs). Methods from January 2012 to September 2016, 17 patients with HEHE confirmed by operation or liver biopsy in our hospital were retrospectively analyzed. The general clinical data, sonographic features of conventional ultrasound and contrast-enhanced ultrasonography were analyzed. Results among the 17 patients with HEHE, there were 7 males and 10 females, aged 2369 years, with an average age of 42.88 卤13.95 years. Conventional ultrasound showed 11 / 11 / 1764.7) multiple lesions, of which 10 involved the whole liver (6 / 6 / 1717 / 35. 3) and 15 / 15 / 1788. 2) the lesions were located under the hepatic capsule; the mean diameter of the lesions was 3. 93 卤2. 23 cm; the sonograms showed hypoechoic, mixed echoes. The hyperechoic lesions were 13 / 13 776. 551 (3 / 3 / 17 / 17.665) and 1 / 17 17 / 5 / 9 (10 / 10 / 17 58.8) the boundaries of the lesions were clear in 7 cases (7 / 1717 1. 2) the boundaries were unclear in 16 cases (16 / 17 17 94. 1) the lesions were regularly examined by ultrasonography in 5 cases (5% 771. 4) the arterial phase showed circular high enhancement in 2 cases (2 / 728. 6) overall high enhancement was observed in 2 cases (2 / 728. 6). Internal strengthening is uneven. In all cases, 7 / 7100) showed low enhancement in portal phase and delayed phase. Conclusion the sonographic features of multiple hypoechoic masses under hepatic capsule should be taken into account in the diagnosis and differential diagnosis of HEHE.
【作者单位】：四川大学华西医院超声科;
【基金】：国家自然科学基金(No.81501488) 成都市科技局项目(No.2014-HM01-00021-SF)资助
【分类号】：R445.1;R735.7

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