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中华医学超声杂志(电子版) ›› 2023, Vol. 20 ›› Issue (08) : 879 -881. doi: 10.3877/cma.j.issn.1672-6448.2023.08.017

病例报告

迁延生长的血管平滑肌脂肪瘤——结节性硬化病一例
李鸣瑶, 耿文磊, 吴伟春()   
  1. 100037 北京,中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院超声影像中心
    100037 北京,中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院放射科
  • 收稿日期:2022-01-12 出版日期:2023-08-01
  • 通信作者: 吴伟春
  • 基金资助:
    中国医学科学院心血管重点实验室建设项目(2019PT310025)
  • Received:2022-01-12 Published:2023-08-01
引用本文:

李鸣瑶, 耿文磊, 吴伟春. 迁延生长的血管平滑肌脂肪瘤——结节性硬化病一例[J]. 中华医学超声杂志(电子版), 2023, 20(08): 879-881.

图1 经胸超声心动图显示长条形肿物自下腔静脉延伸至右心房生长。图a为大动脉短轴切面;图b为四腔心切面(箭头所示为肿物)注:RA为右心房;RV为右心室;LA为左心房;LV为左心室;AO为主动脉
图2 腹部超声发现右肾多发中高回声肿物,最大者直径约4 cm(箭头所示为肿物),部分紧邻右肾静脉。图a为二维超声图像,图b为彩色多普勒图像注:RRV为右肾静脉
图3 腹部CT示右肾、下腔静脉、右心房内富脂质占位病变(箭头所示为肿物),有一定血供,考虑右肾血管平滑肌脂肪瘤沿肾静脉、下腔静脉至右心房迁延生长。图a为腹部轴位图像示右肾多发占位;图b为腹部轴位图像示右肾及下腔静脉内多发占位;图c为斜冠状位图像示右肾及下腔静脉内占位注:RK为右肾;IVC为下腔静脉
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