肝横纹肌样瘤1例
JOURNAL OF PRACTICAL RADIOLOGY（2013）
Abstract
患者 女,67岁,因右上腹不适就诊.查体:腹软,右上腹可见一长约8 cm大小的手术瘢痕,肝下缘肋下2指,肝区叩击痛阴性,于右上腹触及一5 cm×6 cm大小的包块,边界清楚,无压痛,表面光滑;腹壁未见静脉曲张及肠蠕动波;无压痛及反跳痛.
超声示:肝体积增大,形态失常,肝右叶可见大小约18.5 cm×14.3 cm的稍强回声团,边界清,形态欠规则,内回声欠均匀,周边可见低回声环绕;CDFI:其内可见点条状血流信号(图1).肝内胆管未见扩张,门静脉略受压,其内未见明显异常回声.印象:肝内实性占位性病变,考虑:恶性病变可能,建议进一步检查.
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