肝海绵状血管瘤英文PPT·精品.pptVIP

Outline most common benign 1%-20% in different place F 〉M 90% solitary Clinical symptoms Most of them never cause symptoms or health problems.and are incidentally discovered at medical examination, surgery, or autopsy(尸检). right upper abdominal pain、pain, nausea(恶心)、enlargement of the liver； Pathological appearance Oral contraceptives （口服避孕药）and steroids(类固醇) may accelerate the growth of a hemangioma. Whether or not these drugs actually induce the formation of the hemangioma is unclear. o hemangiomas can demonstrate immediate homogeneous enhancement (lesions 1.5cm) o nodular centripetal enhancement pattern progressing to homogeneity (lesions 1.5-5cm) o nodular centripetal enhancement with persistent central hypointense region (lesions 5cm) Differential diagnosis * * 肝脏海绵状血管瘤 Cavernous Hemangioma of Liver Cavernous Hemangioma of Liver Larger hemangiomas can rupture, causing severe pain and bleeding into the abdomen that may be severe or even shock . Cavernous hemangioma is resulted from endothelial cells proliferation（增殖）. The tumor consists in large (cavernous) spaces, lined by tumor endothelial cells ， These interconnected spaces are filled with blood and separated by a fibrous tissue。 Causes Diagnosis（CT） round or subround ，smooth, lobulated, homogeneous, sometimes septated hypodense mass relative to the adjacent liver Nonenhanced CT scans +C20’’动脉期 contrast-enhanced CT scan arterial phase The lesion appears peripheral nodular enhancement（边缘结节状强化），the center of the lesion typically remains hypodense. +C60’’ 门脉期 portal venous phase contrast enhancement progresses centripetally（向心性强化） until fills in the whole lesion.The enhanced level is similar to the abdominal aorta. +C5’ 延迟期 delayed phase The whole lesion is homogeneous enhancement ,the density is higher or equal to the surrounding normal liver (some tumors have low-density center which represent fibre or thrombus ). 平扫 +C20