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纸质出版:2016
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张磊,文利,杨柳青,王光宪,张冬.希佩尔-林道综合征的临床及影像表现[J].陆军军医大学学报(原第三军医大学学报),2016,38(08):885-888.
Zhang Lei,Wen Li,Yang Liuqing,Wang Guangxian,Zhang Dong.Clinical and imaging diagnosis of von Hipple-Lindau syndrome[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(08):885-888.
目的 探讨希佩尔-林道(von Hipple-Lindau,VHL)综合征临床及影像表现,提高对该病的认识。 方法 回顾性分析经影像及病理证实为VHL综合征8例患者的临床和影像资料,并结合文献复习。 结果 8例VHL综合征患者,5例有家族患病史,8例合并中枢神经系统血管母细胞瘤(其中3例多发),3例合并视网膜血管母细胞瘤,6例合并肾透明细胞癌和(或)肾囊肿,1例合并肾血管平滑肌脂肪瘤,4例合并胰腺多发囊肿,2例合并嗜铬细胞瘤,2例合并肝血管瘤和(或)囊肿(1例多发),1例合并肝、肺脓肿。8例VHL综合征患者中,4例诊断为VHL综合征-ⅠA型,2例诊断为VHL综合征-ⅠB型,2例诊断为VHL综合征-ⅡB型。 结论 VHL综合征常表现为多个器官受累,合并视网膜或中枢神经系统血管母细胞瘤多呈“大囊肿伴壁结节”混合肿块;合并肾癌多表现为单或双肾多发肿块(伴双肾多发囊性病变)。
Objective To explore the clinical and imaging characteristics of von Hipple-Lindau (VHL) syndrome
in order to improve the level of recognition and diagnosis of the disease. Methods The clinical and imaging data of 8 patients with VHL syndrome confirmed by imaging and pathology were retrospectively analyzed
which was combined with literature review. Results Eight VHL syndrome patients performed 64-layer spiral CT and 3.0T magnetic resonance imaging scanning and enhanced scanning
and five patients had family history of illness. There were 8 cases with central nervous system vascular tumor (frequent in 3 cases)
3 cases with retinal vascular tumor
6 cases with renal clear cell carcinoma and (or) renal cyst
1 case with renal angiomyolipoma
4 cases with pancreas multiple cysts
2 cases with pheochromocytoma
2 cases with liver vascular tumor and (or) cyst (frequent in 1 case)
and 1 case with liver abscess and lung abscess. Among them
4 cases were diagnosed as VHL syndrome-IA type
2 cases diagnosed as VHL syndrome-IB type
and 2 cases diagnosed as VHL syndrome-IIB type. Conclusion VHL syndrome often shows multiple organ involvement and poor prognosis. Imaging examination is helpful to qualitative diagnosis
disease screening and long-term follow-up for the members of the family.
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