肝原发性黏膜相关淋巴组织结外边缘区B细胞淋巴瘤合并慢性乙型病毒性肝炎1例
Chinese Journal of Medical Imaging Technology（2021）
Abstract
患者女,59岁,因"右上腹间歇性胀痛2周"入院;感染慢性乙型病毒性肝炎10余年.查体:右上腹轻压痛,无反跳痛及肌紧张.实验室检查:谷丙转氨酶153 U/L,乙型肝炎病毒表面抗原(+),乙型肝炎病毒核心抗体(+),乙型肝炎病毒DNA定量检测3.24E3 IU/ml,甲胎蛋白(-).CT:肝 S6段5.1 cm×4.2 cm×3.8 cm团状低密度影,边界尚清,增强后见其内有门静脉分支穿行(图1A);考虑炎性病变.上腹部MRI:肝S6段类圆形稍长T1、T2信号肿块,弥散加权成像呈高信号(图1B),ADC图信号减低(图1C);考虑肝淋巴瘤?肝上皮样血管内皮瘤?
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