二维超声和超声造影检查肝脏上皮样血管内皮瘤表现特征分析*

doi:10.3969/j.issn.1672-5069.2019.06.032

实用肝脏病杂志 ›› 2019, Vol. 22 ›› Issue (6): 904-907.doi: 10.3969/j.issn.1672-5069.2019.06.032

二维超声和超声造影检查肝脏上皮样血管内皮瘤表现特征分析^*

叶显俊, 何年安, 隋秀芳, 刘力

230001 合肥市中国科技大学附属第一医院/安徽省立医院超声科

收稿日期:2018-11-02 出版日期:2019-11-13 发布日期:2019-11-13
通讯作者: 何年安,E-mail：henianan71@qq.com
作者简介:叶显俊,男,36岁,医学硕士,副主任医师。主要从事超声诊断与介入治疗学研究。E-mail:244318574@qq.com
基金资助:
*安徽医科大学2012年科学研究基金资助项目（编号：2012xkj050）; 安徽省卫生与计划生育委员会科研基金资助项目（编号：2010C039）

Contrast-enhanced ultrasonographic features of hepatic epitheloid hemangioendothelioma

Ye Xianjun, He Nian’an, Sui Xiufang, et al.

Department of Ultrasound,First Affiliated Hospital,University of Science and Technology of China,Hefei 230001,Anhui Province,P.R.China

Received:2018-11-02 Online:2019-11-13 Published:2019-11-13
Contact: Corresponding author：He Nian’an,E-mail：henianan71@qq.com

摘要/Abstract

摘要： 目的分析肝脏上皮样血管内皮瘤（EHE）超声表现特征。方法回顾性分析我院经病理学检查证实的5例EHE患者超声声像图表现,主要是位置、大小、形态,灰阶、彩色血流分布和超声造影表现。结果在5例患者中,2例单发,3例多发;3例肿瘤位于肝包膜下,1例邻近肝边缘,1例肝内弥漫性分布;2例可见“包膜回缩征”,2例超声造影表现为“快进快出”,即动脉相快速高增强,门脉相和实质相快速消退。结论常规超声检查EHE表现为肝脏包膜下或边缘部位占位,单发或多发,有“包膜回缩征”。超声造影表现为“快进快出”的特点。

关键词: 肝肿瘤, 上皮样血管内皮瘤, 超声造影

Abstract: Objective To summarize the ultrasonographic features of hepatic epitheloid hemangioendothelioma （EHE）. Methods The ultrasonographic features of 5 patients with hepatic EHE confirmed by histopathology were analyzed retrospectively. Results Out of the 5 case,3 cases had multifocal,and the other 2 only a single tumor in liver;tumor located under hepatic subcapsule in 3,located adjacent to the edge of liver in 1,and had diffuse distribution of tumor inside the liver in 1;“capsular retraction” sign was found in all the 5 cases;contrast-enhanced uhrasonography in two patients with EHE showed that high and rapid peak of enhancement in the arterial phase,followed by a relative quick wash-out in the portal phase. Conclusion The characteristics of EHE might be often locating in liver subcapsular or marginal areas,single or multiple occupation,and “capsular retraction”. Contrast-enhanced ultrasonography can’t make difference with other malignant hepatic tumors.

Key words: Epitheloid hemangioendothelioma, Liver neoplasms, Contrast-enhanced ultrasonography

叶显俊, 何年安, 隋秀芳, 刘力. 二维超声和超声造影检查肝脏上皮样血管内皮瘤表现特征分析^*[J]. 实用肝脏病杂志, 2019, 22(6): 904-907.

Ye Xianjun, He Nian’an, Sui Xiufang, et al.. Contrast-enhanced ultrasonographic features of hepatic epitheloid hemangioendothelioma[J]. Journal of Practical Hepatology, 2019, 22(6): 904-907.

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二维超声和超声造影检查肝脏上皮样血管内皮瘤表现特征分析^*

Contrast-enhanced ultrasonographic features of hepatic epitheloid hemangioendothelioma

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