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

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