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[問題] 肝臟腫瘤病理報告

看板Anti-Cancer板作者kkmam (ㄚ龜)
時間. (2023-06-02 17:01:58)
推文12則 (4推 0噓 8→)
太太的肝臟腫瘤CT報告,健保APP先看到的,希望有先進可以先解惑一下,謝謝大家了

Computed Tomography of Liver With and Without Enhancement Show:Techniques: From
lower chest to pubic edge in 5-mm contiguous section Contrast agent at 2ml/sec,
30 sec Scanning including the arterial phase and delayed phase are performed**Br
ief history: Sonography: One liver hypoechoic nodule, 5.19 cm at S3, nature? **N
o previous study on CGMH PACS for comparisonFindings: Plate atelectasis at left
lung base.No definite space occupying lesion in the liver, spleen, pancreas and
adrenal gland.A homogeneous enhancing, and isoattenuating to liver in the delay
phase, 4.6cm. DDx: Focal nodular hyperplasia, others. Suggest follow up or MRI w
ith Primovist.No definite biliary dilatation.Wall thickening of gallbladder neck
, suggest follow up.Patency of portal vein. No definite obstructive uropathy. Cy
stic lesion at 4.1cm and hypervascular lesions right adnexa, probably benign in
nature.Unremarkble appearance of appendix.Kindly note that subtle mucosal lesion
could not be well evaluated on routine CT. Focal collaspe at the visualized col
on; colonic annular lesion(s) can not be excluded by the examination.Mild ventra
l hernia with hernation sac comprise of mesenteric fat. No definite enlargement
of retroperitoneal LNs. No abnormal fluid collection in the abdomen. No definite
destructive bony lesion.Impression:1. A homogeneous enhancing, and isoattenuati
ng to liver in the delay phase, 4.6cm. DDx: Focal nodular hyperplasia, others. S
uggest follow up or MRI with Primovist.2. Cystic lesion at 4.1cm and hypervascul
ar lesions right adnexa, probably benign in nature.
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#1
: Iphone 截圖後可以翻譯。 貼一下不怎麼精確的翻譯:06/02 18:57
#2        https://i.imgur.com/IwYwsbc.jpg06/02 18:57
#3        https://i.imgur.com/aeKSFzA.jpg06/02 18:57
#4        重點是肝有一個4.6公分疑似結節增生的東西,需要做MRI確06/02 19:05
#5        定。其他都還好。06/02 19:05
#6        如果是確定是結節增生那就是良性的。06/02 19:13
#7        DDx 是 Differential diagnosis的縮寫 ,意思是需要與某06/02 19:20
#8        種情況鑑別診斷。06/02 19:20
#9
: 同樓上,另外他建議的MRI是用一種對肝癌有特異性的顯影06/03 14:28
#10          劑,只是要自費七八千左右(每家醫院可能不太醫院)06/03 14:29
#11          *一樣06/03 14:29
#12
: MRI加顯影劑對肝腫瘤的診斷有9成的準確率06/03 15:36

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