339.文献摘读:Radiologic Mimics of Cirrhosis(5)
每天朗读一段医学影像学英语文章
Miliary Metastases
Diffuse surface nodularity due to miliary metastases is rare (Figs. 6 and 7) and is unlikely to mimic cirrhosis. In a large ultrasound study of hepatic metastases (n = 225), surface irregularity was observed in 16 patients (7%); in only two patients, one with squamous cell carcinoma of the tonsil and one with ovarian carcinoma, was surface nodularity the only sign of metastatic disease .
Fig. 6 —64-year-old woman with metastatic lobular breast cancer. Axial contrast-enhanced CT image shows fine nodularity of hepatic surface. Liver biopsy revealed metastatic breast cancer without cirrhosis.
Fig. 7 —58-year-old woman with bilateral lobular breast cancer. Axial contrast-enhanced CT image shows widespread diffuse parenchymal and surface hepatic nodularity. Biopsy revealed metastatic disease without cirrhosis.
Notes:
1. miliary /'mɪlɪ,ɛri/ adj. 栗粒状的
2. metastases /mə'tæstəsɪs/ n. 转移(metastasis的复数)
3. hepatic /hɪ'pætɪk/ adj. 肝的;肝脏色的;治肝病的
4. tonsil /'tɑnsl/ n. 扁桃体
5. ovarian /o'vɛrɪən/ adj. 卵巢的;子房的
6. nodularity /ˌnɔdju'lærəti/ n. 结节状态;结核状态
7. lobular /'lɔbjulə/ adj. 有小叶的;有小裂片的
8. cirrhosis /sə'rosɪs/ n. 〈医〉肝硬化
9. parenchymal /pəˈrengkəm(ə)l/ 实质
来源:每天朗读一段医学影像学英语文章
圈主
深圳市人民医院放射科副主任医师杨敏洁