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肝低回声病变整理

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最近收集了某网络问诊平台的 肝低回声病变 咨询求诊情况,前后大概翻了50页问诊记录,供大家参考。
排除检查资料欠缺,诊断信息有限的病例,共收集了89个问诊个案。
恶性病灶:31个(12个转移灶,12个肝硬化或乙肝肝癌,高分化肝癌1个,胆管癌3个,血管内上皮瘤1个,未知癌2个)
良性病灶 49个 血管瘤:20个 FNH 4个 脂肪肝5个 硬化结节4个 良性可能10个
未确定良恶性9个。


IP属地:广东1楼2022-05-05 21:07回复
    https://www.haodf.com/bingcheng/8874598507.html 血管瘤可能性大 1
    https://www.haodf.com/bingcheng/8878502210.html 性质不明 2
    https://www.haodf.com/bingcheng/8876698026.html 需普美显检查 3
    https://www.haodf.com/bingcheng/8878531826.html 继续复查 4
    https://www.haodf.com/bingcheng/8866575905.html 不均匀脂肪肝5
    https://www.haodf.com/bingcheng/8826787453.html 乳腺转移癌 6
    https://www.haodf.com/bingcheng/8869978743.html 进一步检查 7
    https://www.haodf.com/bingcheng/8802818040.htmlFNH,高分化肝癌?8
    https://www.haodf.com/bingcheng/8802666376.html 活检良性 9
    https://www.haodf.com/bingcheng/8815067796.html CT增强血管瘤 10
    https://www.haodf.com/bingcheng/8510271217.html 乙肝患者,甲胎正常,不确定 11
    https://www.haodf.com/bingcheng/8808424906.html 未确定 12
    https://www.haodf.com/bingcheng/8799536146.html 超声造影考虑良性 13
    https://www.haodf.com/bingcheng/8841730343.html 乙肝,增生结节或癌变 14
    https://www.haodf.com/bingcheng/8818104654.html 复查8月无变化 一年后增“等信号影” 15
    https://www.haodf.com/bingcheng/8867725444.html 不均匀脂肪肝 16
    https://www.haodf.com/bingcheng/8871015950.html 血管瘤可能性大 17
    https://www.haodf.com/bingcheng/8872284876.html 核磁阴性 18
    https://www.haodf.com/bingcheng/8868202487.html 恶性可能大,“指数”高 19
    https://www.haodf.com/bingcheng/8871268797.html 肝硬化结节 20
    https://www.haodf.com/bingcheng/8882771334.html 血管瘤或低脂区 21
    https://www.haodf.com/bingcheng/8867945865.html 良性可能大 具体猜不出来 22
    https://www.haodf.com/bingcheng/8872879990.html 肝硬化病史,可能癌变 23
    https://www.haodf.com/bingcheng/8860232333.html 定期复查 良性可能24
    https://www.haodf.com/bingcheng/8807630016.html 已观察2年,良性 25
    https://www.haodf.com/bingcheng/8870314141.html 肝炎,微小病变,持续观察良性 26
    https://www.haodf.com/bingcheng/8878056455.html 半年复查无变化,良性 27
    https://www.haodf.com/bingcheng/8827570065.html 怀疑肝癌,乙肝28
    https://www.haodf.com/bingcheng/8825014072.html 血管瘤观察多年29
    https://www.haodf.com/bingcheng/8875568692.html FNH 30
    https://www.haodf.com/bingcheng/8813888270.html 转移癌 31
    https://www.haodf.com/bingcheng/8824198451.html 观察六年,血管瘤 32
    https://www.haodf.com/bingcheng/8818616415.html 未确定 33
    https://www.haodf.com/bingcheng/8840800158.html 低回声晕,转移癌 34
    https://www.haodf.com/bingcheng/8810811757.html 弥漫性肿瘤 无乙肝,但肝硬化 35
    https://www.haodf.com/bingcheng/8881293286.html 有血流信号,但仍认为是血管瘤 36
    https://www.haodf.com/bingcheng/8854763598.html 血管瘤可能大 37
    https://www.haodf.com/bingcheng/8830471492.html 肝硬化结节 38
    https://www.haodf.com/bingcheng/8510235823.html 病灶监控一年,不符合恶性表现 39
    https://www.haodf.com/bingcheng/8823167862.html 动脉畸形 40
    https://www.haodf.com/bingcheng/8822890411.html 25px,暂不考虑恶性 41
    https://www.haodf.com/bingcheng/8811388695.html 淋巴结肿大,恶性 42
    https://www.haodf.com/bingcheng/8874665231.html 血管瘤 43
    https://www.haodf.com/bingcheng/8876950883.html 乙肝肝硬化,肝癌 44
    https://www.haodf.com/bingcheng/8876595972.html 肝硬化结节 45
    https://www.haodf.com/bingcheng/8853498973.html 肝硬化背景,快进快出,恶性 46
    https://www.haodf.com/bingcheng/8849360645.html 肝腺瘤可能性大 47
    https://www.haodf.com/bingcheng/8510269344.html 考虑良性可能大 48
    https://www.haodf.com/bingcheng/8510267136.html 考虑良性可能大 49
    https://www.haodf.com/bingcheng/8851796584.html 丙肝,肝癌 50
    https://www.haodf.com/bingcheng/8859217058.html 乙肝,肝癌,多发 51
    https://www.haodf.com/bingcheng/8510265880.html 甲状腺癌病史,考虑血管瘤 52


    IP属地:广东2楼2022-05-05 21:23
    回复
      https://www.haodf.com/bingcheng/8851980026.html 肝硬化 肝癌 53
      https://www.haodf.com/bingcheng/8857576425.html 胆管癌 54
      https://www.haodf.com/bingcheng/8804007873.html 肺癌病史,转移瘤 55
      https://www.haodf.com/bingcheng/8880397165.html 血管瘤 56
      https://www.haodf.com/bingcheng/8876803764.html 肉芽肿 57
      https://www.haodf.com/bingcheng/8839777718.html 轻度脂肪肝 58
      https://www.haodf.com/bingcheng/8874377504.html 乙肝,肝硬化结节 血管瘤 59
      https://www.haodf.com/bingcheng/8839942137.html 感染性病灶 60
      https://www.haodf.com/bingcheng/8867809459.html 肠癌史,2月增大6mm,血管瘤可能性大 61
      https://www.haodf.com/bingcheng/8867829076.html 结肠癌肝转移 62
      https://www.haodf.com/bingcheng/8855986362.html 上皮样血管内皮瘤 63
      https://www.haodf.com/bingcheng/8827634555.html 血管瘤 64
      https://www.haodf.com/bingcheng/8877835561.htmlFNH 65
      https://www.haodf.com/bingcheng/8833183537.html 血管瘤可能性大 66
      https://www.haodf.com/bingcheng/8874998536.htmlFNH 67
      https://www.haodf.com/bingcheng/8858763718.html 特大血管瘤 68
      https://www.haodf.com/bingcheng/8821199162.html 肝硬化肝癌 69
      https://www.haodf.com/bingcheng/8844638298.html 胆管癌 70
      https://www.haodf.com/bingcheng/8867206087.html 多发散在血管瘤 71
      https://www.haodf.com/bingcheng/8849163131.html 乙肝,肝硬化,肝癌 72
      https://www.haodf.com/bingcheng/8857368527.html 肝硬化结节 73
      https://www.haodf.com/bingcheng/8847845394.html 肠转移 74
      https://www.haodf.com/bingcheng/8874318096.html 脂肪肝 75
      https://www.haodf.com/bingcheng/8814072915.html 食管癌转移 76
      https://www.haodf.com/bingcheng/8877097234.html 考虑肝血管瘤可能性大 77
      https://www.haodf.com/bingcheng/8859500911.html 胰腺癌肝转移 78
      https://www.haodf.com/bingcheng/8863008163.html 怀疑肠癌肝转移 79
      https://www.haodf.com/bingcheng/8802825033.html 肝硬化、肝癌 80
      https://www.haodf.com/bingcheng/8804885885.html 胆囊癌转移 81
      https://www.haodf.com/bingcheng/8804437767.html 血管内上皮瘤 82
      https://www.haodf.com/bingcheng/8856271121.htmlFNH可能 83
      https://www.haodf.com/bingcheng/8864562731.html 胆管癌 84
      https://www.haodf.com/bingcheng/8876280724.html 乳腺癌肝转移 85
      https://www.haodf.com/bingcheng/8853508203.html 肝血管瘤、脂肪肝 86
      https://www.haodf.com/bingcheng/8824402606.html 肝脓肿 87
      https://www.haodf.com/bingcheng/8854768558.html 肝癌肺转移 88
      https://www.haodf.com/bingcheng/8868330378.html 血管瘤 89


      IP属地:广东3楼2022-05-05 21:28
      回复
        结论:
        在未能观察到明显恶性征象的低回声病灶中,依然是良性病灶居多(其中血管瘤又占到良性病灶的半壁江山),恶性病灶除“低回声”外,一般都同时伴有其他恶性指征(验血肿标高,乙肝或肝硬化背景,血流信号较明显等)
        如果没有乙肝,肝硬化等病史,又能排除转移、胆管癌等情况,即使是低回声病灶,恶性的可能性也很小。


        IP属地:广东4楼2022-05-05 21:32
        回复
          为什么很多人医院医生不信,在网上问诊?有经验的b超大夫基本可以断定多数回声的性质!


          IP属地:河北来自Android客户端5楼2022-05-06 08:43
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            还有低回声病灶的病人吗


            IP属地:广东来自Android客户端7楼2024-01-22 08:10
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