肝海綿状血管腫
WordNet
- pertaining to or affecting the liver; "hepatic ducts"; "hepatic cirrhosis"
- being or suggesting a cavern; "vast cavernous chambers hollowed out of limestone"
- a tumor consisting of a mass of blood or lymphatic vessels
PrepTutorEJDIC
- 肝臓の;肝臓にきく,肝臓のような色の
- ほら穴の多い / ほら穴のような
UpToDate Contents
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- 1. 肝血管腫 hepatic hemangioma
- 2. 固形肝病変：鑑別診断および評価 solid liver lesions differential diagnosis and evaluation
- 3. 肝切除の概要 overview of hepatic resection
- 4. 肝胆道系のMRI magnetic resonance imaging of the hepatobiliary tract
- 5. 成人におけるてんかんの外科的治療 surgical treatment of epilepsy in adults
English Journal
- [Hepatic angiosarcoma and liver transplantation: case report and literature review].
- Huerta-Orozco LD1, Leonher-Ruezga KL2, Ramírez-González LR1, Hermosillo-Sandoval JM1, Sandoval-Alvarado Jde J1, Morán-Galaviz RE1.
- Cirugía y cirujanos.Cir Cir.2015 Nov-Dec;83(6):510-5. doi: 10.1016/j.circir.2015.05.027. Epub 2015 Jul 3.
- BACKGROUND: Hepatic angiosarcoma is a rare vascular malignancy that accounts for 2% of all hepatic primary tumours. The diagnosis is difficult, especially if the patient does not have history of exposure to carcinogens, which are considered as risk factors. The diagnosis is made by histopathology, b
- PMID 26144270
- Modified laparoscopic hepatectomy for hepatic hemangioma.
- Bai DS1, Chen P1, Qian JJ1, Yao J1, Jin SJ1, Wang XD1, Jiang GQ2.
- Surgical endoscopy.Surg Endosc.2015 Nov;29(11):3414-21. doi: 10.1007/s00464-014-4048-y. Epub 2015 Jan 1.
- BACKGROUND: Laparoscopic hepatectomy (LH) using many different surgical techniques has become increasingly popular for the management of hepatic tumors. The performance of surgical procedures involving the least possible impairment is expected increasingly more often by both surgeons and patients. W
- PMID 25552235
- Outcome using selective hemihepatic vascular occlusion and Pringle maneuver for hepatic resection of liver cavernous hemangioma.
- Li M1, Zhang C2, Zhang T3, Wang L4, Ding Y5, Niu Z6, He S7, Yang Z8.
- World journal of surgical oncology.World J Surg Oncol.2015 Sep 4;13:267. doi: 10.1186/s12957-015-0680-9.
- BACKGROUND: Though accumulated evidence proved the advantages of laparoscopic hepatectomy, bleeding still remains the most important challenge in clinical practice. Our study aimed to compare the outcomes of Pringle maneuver (PM) and selective hemihepatic vascular occlusion (SHVO) surgeries for pati
- PMID 26338222
Japanese Journal
Related Links
- Liver hemangioma (he-man-jee-O-muh) is a noncancerous (benign) mass that occurs in the liver. A liver hemangioma is made up of a tangle of blood vessels. Liver hemangioma is sometimes called hepatic hemangioma or cavernous ...
- Hepatic cavernous hemangioma: temporal peritumoral enhancement during multiphase dynamic MR imaging. Radiology. 2000 Sep. 216(3):692-7. [Medline]. [Full Text]. Shimada M, Matsumata T, Ikeda Y, et al. Multiple hepatic . . . ...
★リンクテーブル★
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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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- 関
- hepato、hepatogenic、liver
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- 関
- cavitary
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