儿童肝脏原发肿瘤性病变精品课件.pptVIP

2021/4/26 最新 PPT 欢迎下载 可修改 最新 PPT During the hepatocyte phase of enhancement after Gd-EOB-DTPA administration, these tumors usually remain hypointense to normal liver parenchyma with little to no contrast retention. the mass is markedly hypointense to the adjacent liver parenchyma, which is hyperintense because of normal hepatocyte uptake of Gd-EOB-DTPA. a 9-month-old boy c Axial T2-weighted fat suppressed image in the same boy 2 months after chemotherapyinitiation shows that the tumor ( arrow) has markedly decreased in size.e Coronal LAVA MR images during the hepatocyte phaseof Gd-EOB-DTPA enhancement before (left) and after 2 months of chemotherapy. The tumor ( black arrows) is markedly decreased in sizefrom pre- to post-treatment images. Pre-treatment, the tumor extendsand has mass effect on the right hepatic vein ( arrowheads). Posttreatment, the tumor is separate from the right hepatic vein (arrowheads).The central biliary tree （中央胆管）( dashed arrows) and its relationship to the tumor iswell depicted. At this point, the tumor was deemed resectable * 最新 PPT 欢迎下载 可修改 最新 PPT 最新 PPT 欢迎下载 可修改 最新 PPT 8岁，男童，腹痛发热2天就诊，肝肺多发占位 AFP 8830ng/ml (0.00~25.00) 肝中、肝左、下腔癌栓 * 最新 PPT 欢迎下载 可修改 最新 PPT 由于IHHE是富血供肿瘤, 并可合并血小板减少症, 穿刺活检容易导致大出血，所以诊断主要依靠影像学检查 Kasabach Merritt综合征是指由于巨大海绵窦状血管瘤导致血小板减少。血小板减少可能是局部血管内凝血所致，临床表现主要是巨大或广泛的海绵状血管瘤及血小板减少所致的紫癜。 * 最新 PPT 欢迎下载 可修改 最新 PPT 最新 PPT 欢迎下载 可修改 最新 PPT 最新 PPT 欢迎下载 可修改 最新 PPT (B) Axial enhanced CT scan in the arterial phase shows peripheral rim (white arrow), nodular (*) and fibrillary (black arrow) contrast enhancement patterns. (C) In the portal venous phase, there is progressively increased extent of enhancement in all tumors. There is also a hemangioma in the spleen (black arrow). (D) In the delayed phase, there is uniform tumor enhancement except for two larger masses with non-enhancing central necrosis or fibrosis (white arrow). * 最新 PPT 欢迎下载 可修改 最新 PPT A 5-month-old boy with multifocal IHH.