切换至 "中华医学电子期刊资源库"

中华医学超声杂志(电子版) ›› 2019, Vol. 16 ›› Issue (06) : 476 -480. doi: 10.3877/cma.j.issn.1672-6448.2019.06.013

所属专题: 经典病例 文献

病例报告

肝脏炎性肌纤维母细胞瘤一例及文献复习
冯莉1, 常青1,(), 牛丽娟1   
  1. 1. 100021 北京,国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院北京协和医学院肿瘤医院超声科
  • 收稿日期:2019-04-03 出版日期:2019-06-01
  • 通信作者: 常青

Inflammatory myofibroblastoma of the liver: a case report and literature reivew

Li Feng1, Qing Chang1(), Lijuan Niu1   

  • Received:2019-04-03 Published:2019-06-01
  • Corresponding author: Qing Chang
引用本文:

冯莉, 常青, 牛丽娟. 肝脏炎性肌纤维母细胞瘤一例及文献复习[J]. 中华医学超声杂志(电子版), 2019, 16(06): 476-480.

Li Feng, Qing Chang, Lijuan Niu. Inflammatory myofibroblastoma of the liver: a case report and literature reivew[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2019, 16(06): 476-480.

图1 肝脏炎性肌纤维母细胞瘤常规超声图像。图a为肝右叶被膜下可见低回声肿物,形态不规则,边界欠清,周围无声晕;图b为彩色多普勒血流显像示肿物内未见明显血流信号
图2 肝脏炎性肌纤维母细胞瘤超声造影图像。图a示病灶动脉期高增强;图b示门脉期低增强,呈"快进快出"模式
图3 肝脏炎性肌纤维母细胞瘤CT图像。图a为平扫图像示病灶密度欠均匀,表现为低密度;图b为增强扫描示动脉期病灶强化不明显;图c为增强扫描示门脉期病灶未见明显强化,门脉右支分支管腔狭窄、管壁水肿;图d为增强扫描示延迟期病灶周边呈轻度强化
图4 肝脏炎性肌纤维母细胞瘤MRI图像。图a为MRI平扫T2加权像(T2WI)示病灶呈稍高信号,门脉右支分支穿入其内;图b为增强扫描示动脉期病灶强化不明显;图c为增强扫描示门脉期病灶未见明显强化;图d为增强扫描示延迟期病灶周边呈轻中度强化
图5 肝脏炎性肌纤维母细胞瘤病理及免疫组化图。图a为肝肿物穿刺活检病理结果示肝组织内大量梭形细胞增生,伴多量炎细胞浸润(HE ×200);图b为免疫组化示Vimentin阳性(+++细胞浆阳性,×200);图c为免疫组化示SMA阳性(++细胞浆阳性,×200)
图6 肝脏炎性肌纤维母细胞瘤患者保守观察5个月后复查MRI图像。图a为MRI平扫T2加权像(T2WI)示原病灶显示不明确,仅局部可见小片状低信号影,门静脉右支分支水肿明显减轻;图b为增强扫描示动脉期强化程度低于周围肝实质;图c为增强扫描示门脉期强化程度低于周围肝实质
1
Korlepara R, Guttikonda VR, Madala J, et al. Inflammatory myofibroblastic tumor of mandible: A rare case report and review of literature [J]. J Oral Maxillofac Pathol, 2017, 21(1): 136-139.
2
Fletcher CDM, Unni K, Mertens F. World Health Organization Classification of Tumours:Pathology and Genetics of Tumours of Soft Tissue and Bone[M]. Lyon: IARC Press, 2002: 91-93.
3
Tang L, Lai EC, Cong WM, et al. Inflammatory myofibroblastic tumor of the liver: a cohort study [J]. World J Surg, 2010, 34(2): 309-313.
4
Pack GT, Baker HW. Total right hepatic lobectomy; report of a case [J]. Ann Surg, 1953, 138(2): 253-258.
5
侯登峰, 卜献民, 苏洋, 等. 肝胆胰系统炎性肌纤维母细胞瘤三例报告 [J]. 中华医学杂志, 2017, 97(42): 3334-3337.
6
Park JY, Choi MS, Lim YS, et al. Clinical Features, Image Findings, and Prognosis of Inflammatory Pseudotumor of the Liver: A Multicenter Experience of 45 Cases [J]. Gut Liver, 2014, 8(1): 58-63.
7
李明信, 陈育洪, 陈晓东, 等. 肝炎性肌纤维母细胞瘤949例临床分析 [J]. 疑难病杂志, 2014, 13(6): 592-596.
8
Kawaguchi T, Mochizuki K, Kizu T, et al. Inflammatory pseudotumor of the liver and spleen diagnosed by percutaneous needle biopsy [J]. World J Gastroenterol, 2012, 18(1): 90-95.
9
莫国强, 潘敏强, 刘学明. 肝脏炎性假瘤的声像图表现及随访观察 [J]. 中国超声医学杂志, 2003, 19(1): 57-59.
10
王旸, 于晓玲, 程志刚. 肝脏炎性假瘤的超声造影表现 [J/CD]. 中华医学超声杂志(电子版), 2006, 3(1): 31-33.
11
Shang J, Wang YY, Dang Y, et al. An inflammatory myofibroblastic tumor in the transplanted liver displaying quick wash-in and wash-out on contrast-enhanced ultrasound: A case report [J]. Medicine (Baltimore), 2017, 96(49): e9024.
12
林达, 相世峰, 冯国飞, 等. 肝脏炎性肌纤维母细胞瘤的CT、MRI表现及病理特征 [J]. 中华肝胆外科杂志, 2017, 23(9): 591-596.
13
Yang X, Miao R, Yang H, et al. Retrospective and comparative study of inflammatory myofibroblastic tumor of the liver [J]. J Gastroenterol Hepatol, 2015, 30(5): 885-890.
14
蒋玲君, 徐晓晓, 张道春. 肝脏炎性肌纤维母细胞瘤的CT表现与病理对照 [J]. 中国临床医学影像杂志, 2015, 26(7): 487-490.
15
Yamaguchi J, Sakamoto Y, Sano T, et al. Spontaneous regression of inflammatory pseudotumor of the liver: report of three cases [J]. Surg Today, 2007, 37(6): 525-529.
16
Lee SL, Dubois JJ. Hepatic inflammatory pseudotumor: case report, review of the literature, and a proposal for morphologic classification [J]. Pediatr Surg Int, 2001, 17(7): 555-559.
17
Sarrami AH, Baradaran-Mahdavi MM, Meidani M. Precise recognition of liver inflammatory pseudotumor may prevent an unnecessary surgery [J]. Int J Prev Med, 2012, 3(6): 432-434.
18
Sari A, Tunakan M, Ünsal B, et al. Inflammatory pseudotumor of the liver diagnosed by needle biopsy: report of three cases (one with neuroendocrine tumor of the rectum and lung) [J]. Turk J Gastroenterol, 2010, 21(3): 308-312.
19
Qi X, Han L, Arora A, et al. Spontaneous Resolution of Multiple Hepatic Masses: Hepatic Inflammatory Pseuduotumor [J]. Ann Hepatol, 2017, 16(3): 457-459.
No related articles found!
阅读次数
全文


摘要