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作 者:Zhuo-Yan Liu Xue-Mei Jin Guang-Hai Yan Guang-Yu Jin
机构地区:[1]Department of Radiology,Affiliated Hospital of Yanbian University,Yanji 133000,Jilin Province,China [2]Department of Pathology,Affiliated Hospital of Yanbian University,Yanji 33000,Jilin Province,China [3]Department of Anatomy,Basic Medical College,Yanbian University,Yanji 133002,Jilin Province,China
出 处:《World Journal of Clinical Cases》2020年第20期5042-5048,共7页世界临床病例杂志
基 金:National Natural Science Foundation of China,No.81860304 and No.81860043;"Thirteenth Five-Year Plan"Science and Technology Project of Education Department of Jilin Province,No.JKH20191141KJ;Natural Science Research Foundation of Jilin Province for Sciences and Technology,No.20200201511JC。
摘 要:BACKGROUND Primary chondrosarcoma of the liver are extremely rare.Moreover,there are few reports focusing on typical clinical symptoms and imaging characteristics.Therefore,the diagnosis of chondrosarcoma of the liver remains a challenge.CASE SUMMARY A 59-year-old male was admitted due to a lesion occupying the right liver lobe that was found by physical examination.Magnetic resonance imaging showed a lobular mass with high T2 weighted image and low T1 weighted image with enhanced internal separation and edge in the right liver.He was diagnosed with liver cystadenoma by using magnetic resonance imaging.At 3 mo later,the magnetic resonance scan showed that the mass was enlarged.Laparoscopic liver tumor resection was performed with a pathological diagnosis of liver chondrosarcoma.Then he received a surgical resection for the recurrent lesion.However,intrahepatic and abdominal metastases were found again at 8 mo after the second operation.The patient then received conservative management and is now under follow-up.CONCLUSION Primary liver chondrosarcoma generally is presented as lobulated and heterogeneous density/signal,cystic,solid masses without calcification with enhanced edge,internal septa and solid part.The imaging features are closely related to pathology,which may be helpful for clinical diagnosis.
关 键 词:Extraskeletal chondrosarcoma Liver tumor Differential diagnosis Case report
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