肝周恶性腹膜间皮瘤磁共振影像及其鉴别诊断  

Magnetic resonance imaging and differential diagnosis of perihepatic malignant peritoneal mesothelioma

作　　者：孔涛 杨玲[1] KONG Tao;YANG Ling(Department of Radiology,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Department of Radiology,Dayu County People's Hospital,Dayu,Jiangxi 341500,P.R.China)

机构地区：[1]四川大学华西医院放射科,成都610041 [2]江西省大余县人民医院放射科,江西大余341500

出　　处：《中国普外基础与临床杂志》2023年第12期1427-1430,共4页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：恶性腹膜间皮瘤是一种非常罕见的浆膜恶性肿瘤,临床上常表现为腹膜和网膜多发的软组织肿块,多数伴有腹水。本研究展示1例经病理学检查证实为腹膜恶性间皮瘤的磁共振图像,该病例罕见局限于肝周腹膜并向肝内生长,在没有腹水衬托情况下,容易与肝内起源病变混淆。通过病例分析,一方面展示恶性腹膜间皮瘤的磁共振影像学表现,另一方面则是探讨肝外和肝内起源病变的鉴别要点,以提高对这种疾病的认识及鉴别诊断能力。Malignant peritoneal mesothelioma is a very rare serous malignant tumor,which often manifests as multiple soft tissue masses in peritoneum and omentum,most of which are accompanied by ascites.In this study,a case of peritoneal malignant mesothelioma confirmed by pathological examination was presented.The case was rarely confined to the perihepatic peritoneum and grew into the liver.Without ascites it was easy to be confused with intrahepatic lesions.Through case analysis,on the one hand,the MRI manifestations of malignant peritoneal mesothelioma are displayed.On the other hand,the main points of differentiation between extrahepatic and intrahepatic origin lesions are discussed,so as to improve the understanding and differential diagnosis ability of this disease.

关 键 词：恶性腹膜间皮瘤 肝脏肿瘤 磁共振成像 种植脾 

分 类 号：R445.2[医药卫生—影像医学与核医学] R735.7[医药卫生—诊断学]