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Recurrent Uterine Leiomyosarcoma Associated with Multiple Hepatic Angiomyolipomas

再發性子宮平滑肌纖維瘤與多發性肝內血管平滑肌脂肪瘤

摘要


血管平滑肌脂肪瘤是一種罕見良性肝腫瘤,主要成份為脂肪血管及肌肉組織。它常被報告為單獨或多個性腫瘤,且與結節性硬化症有所連聯。我們有一個病例是再發性子宮平滑肌瘤合併肝內多個血管平滑肌脂防瘤。病人並沒有結節行性硬化症候。在電腦斷層攝影(CT)下,肝內血管平滑肌脂防瘤的診斷表徵與脂肪浸潤,脂肪瘤及肝癌不同。文章為此作一探討及敘述。

並列摘要


Angiomyolipoma (AML) of the liver is an extremely rare benign tumor, which is composed of fat, vessels and muscles, Hepatic angiomyolipomas have always been reported as either solitary masses, or multiple tumors in association with tuberous sclerosis. We present a patient with recurrent uterine leiomyosarcoma with multiple hepatic angiomyolipomas. No evidence of tuberous sclerosis was found in the patient, The diagnostic features of hepatic angiomyolipomas on computed tomography differ from hepatic metastases, fatty infiltration, lipoma and hepatoma. Our findings are presented and discussed.

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