지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 393 - 397 (5page)
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초록· 키워드
오류제보하기
A 51-year-old male patient with chronic hepatitis B was referred to our hospital due to a 1-cm liver nodule on ultrasonography. Alpha-fetoprotein (AFP) was slightly elevated. The nodule showed prolonged enhancement on dynamic liver magnetic resonance imaging and appeared as a hyperintensity on both diffusion-weighted and T2-weighted imaging. The nodule was followed up because it was small and typical findings of hepatocellular carcinoma (HCC) were not observed in the dynamic imaging investigations. However, liver contrast-enhanced ultrasonography performed 1 month later showed enhancement during the arterial phase and definite washout during the delayed phase. Also, AFP had increased to over 200 ng/mL even though AST and ALT were decreased after administering an antiviral agent. He was presumptively diagnosed as HCC and underwent liver segmentectomy. Microscopy findings of the specimen indicated bile duct adenoma. After resection, the follow-up AFP had decreased to within the normal range. This patient represents a case of bile duct adenoma with AFP elevation mimicking HCC on contrast-enhanced ultrasonography.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Allaire GS / 1988 / Bile duct adenoma. A study of 152 cases / Am J Surg Pathol 12 : 708 ~ 715
Bhathal PS / 1996 / The so-called bile duct adenoma is a peribiliary gland hamartoma / Am J Surg Pathol 20 : 858 ~ 864
Cho C RI / 1978 / Bile duct adenomas as liver nodules / Arch Surg 113 : 272 ~ 274
Giannetti A / 2013 / Contrast-enhanced sonography in the diagnosis of hepatic hemangiomas : atypical appearance due to the washout of microbubbles / J Clin Ultrasound 41 : 3
HA. E. / 1958 / Tumors of the liver and intrahepatic bile duct. In: Atlas of tumor pathology, fascicle 25 / Armed Forces Institute of Pathology : 19 ~ 29
Bhathal PS / 1996 / The so-called bile duct adenoma is a peribiliary gland hamartoma / Am J Surg Pathol 20 : 858 ~ 864
Cho C RI / 1978 / Bile duct adenomas as liver nodules / Arch Surg 113 : 272 ~ 274
Giannetti A / 2013 / Contrast-enhanced sonography in the diagnosis of hepatic hemangiomas : atypical appearance due to the washout of microbubbles / J Clin Ultrasound 41 : 3
HA. E. / 1958 / Tumors of the liver and intrahepatic bile duct. In: Atlas of tumor pathology, fascicle 25 / Armed Forces Institute of Pathology : 19 ~ 29
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