肝海綿状血管腫
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- 1. 肝血管腫hepatic hemangioma [show details]
… Large hemangiomas may develop a collagenous scar or fibrous nodule as thrombosis occurs. Rarely, there may be focal stromal calcification and ossification . Cavernous hemangiomas of the liver may be associated …
- 2. 固形肝病変:鑑別診断および評価solid liver lesions differential diagnosis and evaluation [show details]
… Hepatic hemangiomas (also referred to as cavernous hemangiomas because of the cavernous vascular space seen histologically) are the most common benign mesenchymal hepatic tumors. Hemangiomas are typically… normal-appearing liver (likely hemangioma). Findings of different lesions on CT scan include : Hepatic hemangioma: A non-contrast enhanced CT scan of a hemangioma usually demonstrates…
- 3. 嚢胞性線維症:肝胆道系疾患cystic fibrosis hepatobiliary disease [show details]
… between 1987 and 2009, 210 children or adolescents underwent liver or liver-lung transplantation for CFLD, compared with 84 adults . In the liver, CF transmembrane regulator (CFTR) is located on the apical …
- 4. 好酸球の生物学および好酸球増多症の原因eosinophil biology and causes of eosinophilia [show details]
…(SM) is a clonal proliferation of mast cells that can infiltrate various organs including the skin, liver, spleen, bone marrow, and lymph nodes. Aggressive and indolent forms exist. Patients may present with … whereas angiolymphoid hyperplasia with eosinophilia (also known as epithelioid hemangioma) occurs in all races and is characterized by generally smaller and more superficial lesions.…
- 5. 血友病A・血友病B:予防を含めた日常的なマネージメントhemophilia a and b routine management including prophylaxis [show details]
… administered in an adeno-associated virus (AAV) with liver-tropism and liver-specific enhancer and promotor elements (AAV SPK-9001)… were receiving an aPCC along with emicizumab had a thrombotic microangiopathy (TMA), one had a cavernous sinus thrombosis, and one had skin necrosis; these resolved with discontinuation of the aPCC. Results …
English Journal
- Management of Symptomatic Hepatic "Mega" Hemangioma.
- Ketchum WA, Lin-Hurtubise KM, Ochmanek E, Ishihara K, Rice RD.
- Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health. 2019 Apr;78(4)128-131.
- The majority of giant hepatic cavernous hemangiomas are asymptomatic and can safely be observed. However, when a lesion becomes symptomatic, affecting quality of life or cannot be distinguished from a malignancy, then operative therapy should be considered. We herein present a case of a symptomatic
- PMID 30972235
- A case of hepatocellular carcinoma mimicking hepatic adenoma.
- Goret CC, Goret NE, Ozkan OF.
- Annali italiani di chirurgia. 2019 Feb;8().
- Hepatocellular adenomas (HA) are benign naturally occurring masses that are rarely reported, and rarely reaching tumor size up to 30 cm. Hepatocellular carcinoma (HCC) is the most common primary malignancy of the liver and usually caused by cirrhosis and more commonly reported tumors in males. It ha
- PMID 30837351
- Utility of contrast-enhanced ultrasonography with perflubutane in evaluating indications for diagnostic percutaneous tumor biopsy in a case of hepatic sclerosed hemangioma.
- Ando Y, Ishigami M, Ishizu Y, Kuzuya T, Honda T, Hirooka Y.
- Clinical journal of gastroenterology. 2018 Dec;11(6)514-520.
- Sclerosed hemangioma is difficult to distinguish from intrahepatic cholangiocarcinoma or liver metastasis due to their imaging resemblance, thus pathological diagnosis is often required; however, percutaneous biopsy entails a risk of dissemination if the tumor is malignant. Perflubutane, a contrast
- PMID 29931440
Japanese Journal
- 転移性肝癌との鑑別が困難であった肝硬化性血管腫の1例
- 田中 祐介,金岡 祐次,前田 敦行,高山 祐一,深見 保之,高橋 崇真,宇治 誠人
- 日本消化器外科学会雑誌 52(2), 89-94, 2019
- <p>症例は74歳の男性で,乏尿を主訴に当院泌尿器科を受診した.その際に施行された腹部超音波検査にて,S状結腸の壁肥厚を認め消化器内科に紹介となった.下部消化管内視鏡検査ではS状結腸に2型腫瘤を認め,S状結腸癌と診断された.また,腹部造影CTでは肝S5にring enhancementを呈する13 mm大の腫瘤を認め,腹部造影MRIにてring enhancement,肝細胞相でwas …
- NAID 130007604998
- 経皮的針生検で診断した単発性肝類上皮血管内皮腫の1切除例
- 関 博章,石井 賢二郎,安井 信隆,坂田 道生,嶋田 昌彦,松本 秀年
- 日本外科系連合学会誌 43(1), 122-128, 2018
- <p>症例は41歳,男性.2012年7月に検診の腹部超音波検査で肝S5に9mmの腫瘤を指摘され,腹部CTを行い,肝血管腫として経過観察されていた.2年後の検診の腹部超音波検査で増大したため,CTとMRIを施行した.腫瘍径は15mmに増大していたが,画像診断では良性の可能性が高いと診断された.その後,3カ月から6カ月毎にMRIで厳重に経過観察されたが,形状や大きさに変化を認めなかった.し …
- NAID 130007605480
- デスフルランを用いて運動誘発電位モニタリングを行った肝硬変合併頸髄海綿状血管腫の麻酔経験
Related Links
- Methods We reviewed medical records of 198 patients with cavernous hemangioma of the liver visiting a large private hepatology clinic in Tehran from 1997 to 2007. Of a total of 198 cases, 129 could be followed up for a ...
- A liver hemangioma (he-man-jee-O-muh) is a noncancerous (benign) mass in the liver. A liver hemangioma is made up of a tangle of blood vessels. Other terms for a liver hemangioma are hepatic hemangioma and cavernous ...
- Cavernous hemangioma is the most common primary liver tumor; its occurrence in the general population ranges from 0.4-20%, as reported by Karhunen in an autopsy series. Cavernous hemangiomas arise from the ...
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- 英
- cavernous hemangioma of the liver, hepatic cavernous angioma, hepatic cavernous hemangioma
- 関
- 血管腫、肝腫瘍
概念
- 腫瘍の発育には女性ホルモンが関与しており、成人女性に多い。
症状
検査所見
- なお肝生検は大出血の危険があるので本症では禁忌である。
腹部エコ
- 全体として辺縁が線状に増強される marginal strong echo と呼ばれる高エコー像を呈し、内部は溶血塊として明瞭でない。
- 肝海綿状血管腫は内部構造が胞巣状を呈するので、腫瘤内でエコーの反射が増強し、高エコーを示すのが特徴的である。(SRA.472)
- 時に内部が低エコーで周囲がリング状の高エコーを示すものや、高エコーと低エコーが混在した混合型を呈するものもある。(SRA.472)
血管造影
- 綿花状 cotton wool appearance
- 動脈相から毛細血管相にかけて、腫瘍内に造影剤が斑状に貯留 pooling している所見である。
MRI
- SRA.482
- T1:低信号
- T2:高信号 ← 液体やから。肝嚢胞もそうや。
合併症
- 血管腫が巨大な場合に腫瘍内に血栓を形成してDICを招いたもの。
治療
- 巨大なものや圧迫症状が出現したものは肝切除の適応となる。
参考
- http://www.jcr.or.jp/guideline/2007/pdf/410.pdf
- http://www.d9.dion.ne.jp/~atmtrenn/abdomen/aaacneuaaaeo.html
- http://akimichi.homeunix.net/~emile/aki/html/medical/liver/node62.html
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- [liv]
- [laiv]
- 同
- LAIV
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- 関
- cavitary
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肝臓