肝脏弥漫性血管肉瘤并脊柱多发转移1例

发布时间：2018-02-28 04:39

本文关键词： 肝肿瘤血管肉瘤肿瘤转移脊柱疾病体层摄影术 X线计算机磁共振成像病理学外科病例报告　出处：《中国医学影像学杂志》2015年11期 　论文类型：期刊论文

【摘要】：正1病例简介女,59岁。主诉:右腰部疼痛1个月余,右上腹痛2d。临床表现:纳差、乏力、腹胀等,无发热、体重减轻。既往无肝炎病史及有毒物质接触史。实验室检查:HBs Ag(-),谷草转氨酶50 U/L,谷氨酰转肽酶161 U/L,碱性磷酸酶166 U/L。影像学表现:CT检查(图1A~C)提示恶性病变,考虑转移瘤可能;上腹部MRI图像(图1D~K)提示肝脏多发实性占位性病变并椎体多发病灶,考虑肝细胞癌或转移瘤。患者行CT引导下肝脏穿刺活检术。病理结果提示肿瘤细胞
[Abstract]:Main complaint: right waist pain for more than one month, right upper abdominal pain for 2 days. Clinical manifestations: anorexia, fatigue, abdominal distension, etc., no fever, no fever, no fever, no fever, no fever, no fever, no fever, no fever, no fever, no fever, and no fever. Weight loss. No history of hepatitis and exposure to toxic substances in the past. Laboratory examination of 10: HBs, 50 U / L glutamic oxaloacetic transaminase, 161 U / L glutamyl transpeptidase, 166 UL alkaline phosphatase. MRI images of the upper abdomen (fig. 1 DX K) indicate multiple solid lesions of the liver with multiple vertebral lesions, considering hepatocellular carcinoma or metastatic tumor. CT-guided liver biopsy is performed in the patients. Pathological results indicate that tumor cells are present in the liver.
【作者单位】：郑州大学第一附属医院放疗二科;
【分类号】：R735.7;R730.44;R445.2

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