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[問題] 肝臟腫瘤病理報告

看板Anti-Cancer標題[問題] 肝臟腫瘤病理報告作者
kkmam
(ㄚ龜)
時間推噓 4 推:4 噓:0 →: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: Fromlower 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**Brief history: Sonography: One liver hypoechoic nodule, 5.19 cm at S3, nature? **No previous study on CGMH PACS for comparisonFindings: Plate atelectasis at leftlung base.No definite space occupying lesion in the liver, spleen, pancreas andadrenal gland.A homogeneous enhancing, and isoattenuating to liver in the delayphase, 4.6cm. DDx: Focal nodular hyperplasia, others. Suggest follow up or MRI with Primovist.No definite biliary dilatation.Wall thickening of gallbladder neck, suggest follow up.Patency of portal vein. No definite obstructive uropathy. Cystic lesion at 4.1cm and hypervascular lesions right adnexa, probably benign innature.Unremarkble appearance of appendix.Kindly note that subtle mucosal lesion could not be well evaluated on routine CT. Focal collaspe at the visualized colon; colonic annular lesion(s) can not be excluded by the examination.Mild ventral hernia with hernation sac comprise of mesenteric fat. No definite enlargementof retroperitoneal LNs. No abnormal fluid collection in the abdomen. No definite destructive bony lesion.Impression:1. A homogeneous enhancing, and isoattenuating to liver in the delay phase, 4.6cm. DDx: Focal nodular hyperplasia, others. Suggest follow up or MRI with Primovist.2. Cystic lesion at 4.1cm and hypervascular lesions right adnexa, probably benign in nature.

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tc202106/02 18:57Iphone 截圖後可以翻譯。 貼一下不怎麼精確的翻譯:

tc202106/02 18:57https://i.imgur.com/IwYwsbc.jpg

tc202106/02 18:57https://i.imgur.com/aeKSFzA.jpg

tc202106/02 19:05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

tc202106/02 19:05定。其他都還好。

tc202106/02 19:13如果是確定是結節增生那就是良性的。

tc202106/02 19:20DDx 是 Differential diagnosis的縮寫 ,意思是需要與某

tc202106/02 19:20種情況鑑別診斷。

dadaiken06/03 14:28同樓上,另外他建議的MRI是用一種對肝癌有特異性的顯影

dadaiken06/03 14:29劑,只是要自費七八千左右(每家醫院可能不太醫院)

dadaiken06/03 14:29*一樣

okderla06/03 15:36MRI加顯影劑對肝腫瘤的診斷有9成的準確率