Caracterizacion de lesiones focales hepaticas por TCMD

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Transcript of Caracterizacion de lesiones focales hepaticas por TCMD

4 6 Enero­Marzo 2012

Dr. Gaspar Alberto Motta Ramírez*Dra. Erika Alonso Blancas**Ruby Ann Chirino Sprung*Lluvia Irais González-Merino*

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4 7Enero­Marzo 2012

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@&.7-%",/.a/+%)O/3232+,#+/%2+3(O.#)#2+,#+:%,%+$%:3#)'#+$*&+P8#+

&#%/3K%,*+$*&+,*2+(D,3:*2+&%,3R/*.*26+9#+2#/#::3*)%&*)+M+%)%/3K%&*)+ST+$%:3#)'#2+:*)+̂ F1+,#'#:'%,%+$*&+(#,3*+,#+8)+#2'8,3*+,3)O(3:*+,#+@7?"+(8/'3PO23:%+M+:*)+/%+3)P*&(%:3R)+:/0)3:%+$#&'3)#)'#+U:*&&#2$*),3#)'#2+%+AZ+,#/+8)3Q#&2*+,#+$%:3#)'#2V6+F8#&*)+WX+N*(I&#2+UCYZV+M+[X+(8\#&#2+UTWZV+#)+8)+&%).*+,#+#,%,#2+#)'&#+AT+%]*2+M+YS+%]*2+U$&*(#,3*+,#+CA6W+%]*2+M+8)%+(#,3%+,#+CB6C+%]*2V+:*)+/*2+23.83#)'#+3)'#&Q%/*2+,#+P&#:8#):3%+$*&+#,%,G+,#+AT+%+W[+%]*2+W+U[6AZV;+W[+%+[W+%]*2+Y+UAW6CZV;+[W+%+TA+%]*2+A[+UWB6[ZV;+TA+%+CB+%]*2+`+UATZV;+CB+%+C`+%]*2+̀ +UATZV;+C`+%+SY+%]*2+X+UAB6`ZV;+SY+%+XX+%]*2+

!7",#/+BG+7/%23b:%:3R)+,#+/%2+/#23*)#2+N#$O'3:%2+$*&+28+'3$*+,#+&#%/:#

H74/#&.+0&12%'$/.+0'1&#;".$7-"#&.?%/3.)*2 k#)3.)*2

++++5&3(%&3*2 ++++++++++1#(%).3*(%+U(#)*&+,#+A+:(V++++++++1#$%'*:%&:3)*(%+U(#)*&+,#+[+:(V ++++++++++>).3*(3*/3$*(%2+++++++++7%&:3)*(%+,#+bI&*/%(#/%& ++++++++++13$#&$/%23%+)*,8/%&+P*:%/++++++++1#$%'*I/%2'*(%2+U)3]*2V     

++?#'O2'%232++++++++?#/%)*(%++++++++7O):#&+,#+(%(%++++++++7%&:3)*(%+&#)%/++++++++7%&:3)*3,#        Leiomiosarcoma

++++++++7%&:3)*(%+(#,8/%&+,#+'3&*3,#2++++++++7%&:3)*(%+,8:'%/+,#+$O):&#%2++++++++7%&:3)*(%+,#+$O):&#%2++++++++7%&:3)*(%+,#+:*/*)

H74/#&.+0&12%'$/.+0'1/;".$7-"#&.?%/3.)*2 k#)3.)*2

    732'*%,#)*:%&:3)*(%+ ++++l832'*%,#)*(%++++?#'O2'%232+N3$*Q%2:8/%&#2 ++++@3$*+_802'3:*2+++++++++7%&:3)*(%+:*/*&&#:'%/ ++++++++l832'#2+N#$O'3:*2+++++++++7%&:3)*(%+,#+:D/8/%2+'&%)23:3*)%/#2 ++++++++l832'#2+:3/3%,*2+,#/+3)'#2'3)*+%)'#&3*&++++^3)P*(%+     Hamartomas

    Adenocarcinomas     Lipomas

++++l832'#2+,#+:*/D,*:*

I&.'/*&.+.&7,/%74/#"-&.+0&12%'$".a2'#%'*232+N#$O'3:%+P*:%/;+2%&:*3,*232;+3)P#::3*)#2+.&%)8/*(%'*2%2+*+$*&+N*).*2;+2#8,*'8(*&+3)e%(%'*&3*>I2:#2*+N#$O'3:*+3)3:3%/

4 9Enero­Marzo 2012

AW+UAY6XZV+M+,#+XX+%+YS+%]*2+T+US6WZV6++a)+WY+$%:3#)­'#2+UTTZV+/*2+N%//%K.*2+P8#&*)+3):3,#)'%/#2+M;+,#/+'*'%/+,#+/%2+/#23*)#%2+%)/%3K%,%2+W+UXZV+P8#&*)+(%/3.)%2+M+WS+I#)3.)%2+U`[ZVd+[S+,#+#//%2+UCSZV+%:8,3#&*)+I%\*+2*2$#:N%+:/0)3:%6+̂ %2+/#23*)#2+#):*)'&%,%2+P8#&*)G+A[+N#(%).3*(%2+N#$O'3:*2+U11V+UWBZV;+W+,#+#//*2+%'0$3:*2+UAC6[ZV+M+AA+'0$3:*2+UYT6SZVd+`+N3$#&$/%23%2+)*,8/%&#2+P*:%/#2+ U1=FV+ UATZVd+ AA+ %I2:#2*2+ N#$O'3:*2+ U>I1V+UAX6AZV+,#+/*2+:8%/#2+C+UTC6CZV+P8#&*)+#):*)'&%,*2+#)+P%2#+%.8,%+M+S+UCT6CZV+#)+P%2#+28I%.8,%+UT+m[S6[Zn+P8#&*)+2*(#'3,*2+%+,&#)%\#+$#&:8'O)#*+&#$*&'O),*2#+28+ *&3.#)+ $3R.#)*Vd+ AW+ :%&:3)*(%2+ N#$%'*:#/8/%&#2+U717V+ UAY6XZVd+ S+ _832'#2+ N#$O'3:*2+ 23($/#2+ Ul19V+U`6[ZVd+ T+(#'O2'%232+ j)3:%2+ :*)+ $&3(%&3*+ :*)*:3,*+US6WZVd+W+3)b/'&%:3*)#2+.&%2%2+U[6AZVd+W+1k+U[6AZVd+A+%(3/*3,*232+UA6CZVd+A+N#(%'*(%+28I:%$28/%&+UA6CZVd+A+I3/*(%+UA6CZVd+A+%,#)*(%+N#$O'3:*+U>1V+UA6CZV+M+A+:32'*%,#)*(%+UA6CZV+Ub.8&%+WV6F8#&*)+2*(#'3,%2+%+I3*$23%+.83%,%+$*&+@7?"+AX+

/#23*)#2+ UWS6CZV+ $%&%+ 28+ ,3%.)R2'3:*+ ,#b)3'3Q*d+ ,#+#//%2+C+P8#&*)+&#$*&'%,%2+:*(*+3),#'#&(3)%,%2+M+W+:*)+,3%.)R2'3:*+,#+171d+AB+UC`ZV+,#+/%2+/#23*)#2+I3*$23%­,%2+P8#&*)+:%&%:'#&3K%,%2+$*&+3(%.#)+:*)+$&#:323R)+M+:*&&#2$*),3#&*)+%/+,3%.)R2'3:*+N32'*$%'*/R.3:*6+̂ %2+TX+/#23*)#2+&#2'%)'#2+UX[ZV+$8,3#&*)+2#&+:%&%:'#&3K%,%2+$*&+@7?"+23)+)#:#23,%,+,#+&#:8&&3&+%+/%+I3*$23%6^%+(%M*&0%+,#+/%+/#23*)#2+2#+$&#2#)'R+#)+#/+/RI8/*+

N#$O'3:*+,#&#:N*+UTW;+XWZVd+AA+#)+#/+/RI8/*+N#$O'3:*+3K_83#&,*+UAXZV+M+X+#)+%(I*2+UAAZV6+9#+3,#)'3b:%&*)+:%/:3b:%:3*)#2+#)+/%2+23.83#)'#2+/#23*)#2G+N#(%).3*­(%2;+717;+l19+M+#)+/%+%(3/*3,*2326+a/+,#&&%(#+$/#8&%/+M+/%+%2:3'32+P8#+(O2+:*(j)+#)+/*2+717+M+#)+#/+>16+^%+:3&&*232+N#$O'3:%;+/%+'&*(I*232+$*&'%/++M+/%2+P02'8/%2+%&'#­

&3*Q#)*2%2+2#+$&#2#)'%&*)+#)+/*2+717+:*)+8)+'%(%]*+(%M*&+%+[6C+:(+U:8%,&*+--V6+9#+3,#)'3b:R+'&*(I*232+$*&'%/+#)+T+717+%20+:*(*+#)+W+N#(%).3*(%26

J'.$7.')*^%+@7?"+#2+#/+(D'*,*+,#+3(%.#)+(O2+8'3/3K%,*+$%&%+

#/+#2'8,3*+N#$O'3:*+,3)O(3:*6+H&%:3%2+%/+,#2%&&*//*+,#+/*2+#_83$*2+,#+@7?"+#2+$*23I/#+&#%/3K%&+%).3*'*(*.&%­P0%2;+'%)'*+%&'#&3%/#2+:*(*+Q#)*2%2;+:*)+#Q%/8%:3*)#2+'%&,0%2;+&#:*)2'&8::3*)#2+(8/'3$/%)%&#2;+'&3,3(#)23*)%­/#2;+ 3(O.#)#2+#)+(OE3(%+ 3)'#)23,%,+U?-5V+#+ 3):/82*+3(O.#)#2+,#+$#&P823R)+N#$O'3:%6+@*,*+#//*+$#&(3'#+%/+(D,3:*+&%,3R/*.*+&#%/3K%&+8)%+%,#:8%,%+:%&%:'#&3K%:3R)+,#+/%+^F1+M+,3P#&#):3%&+/%2+I#)3.)%2+,#+/%2+(%/3.)%2;+#Q3'%),*+#2'8,3*2+3))#:#2%&3*2+M+$&*:#,3(3#)'*2+3)'#&­Q#):3*)32'%2;+*+I3#)+3),3:%&+#2'8,3*2+,#+:*($/#(#)'*+M+#Q%/8%:3R)+28I2#:8#)'#2+:*(*+/%+&#2*)%):3%+(%.­)D'3:%+UJ?V6[9#+N%+8'3/3K%,*+#/+'D&(3)*+,#+o3):3,#)'%/*(%2p+$%&%+

,#)*(3)%&+%+%_8#//%2+/#23*)#2+N#$O'3:%2+%23)'*(O'3:%2+_8#+2*)+,#2:8I3#&'%2+#)+$%:3#)'#2+2*(#'3,*2+%+%/.j)+#2'8,3*+,#+3(%.#)64+a)+)8#2'&%+$*I/%:3R)+,#+#2'8,3*+WY++̂ 1F+UTTZV+P8#&*)+N%//%K.*2+3):3,#)'%/#2;+W+,#+#//%2+UXZV+(%/3.)%2+M+WS+U`[ZV+I#)3.)%26+"%'*2+23(3/%&#2+%+/*2+&#$*&'%,*2+$*&+1##$+_8#+(#):3*)%+YAZ+,#+3):3­,#)'%/*(%2+N#$O'3:*2+I#)3.)*2+M+A`Z+(%/3.)*264+5%&%+(%'#&3%/3K%&++/%+:%&%:'#&3K%:3R)+$*&+@7?"+,3Q3,3(*2+%+/%2+^F1+#)+N3$#&Q%2:8/%&#2+#+N3$*Q%2:8/%&#2+U(%/3.­)%2;+I#)3.)%2+*+2#8,*'8(*&%/#2V6+a)+)8#2'&*+#2'8,3*+SC6XZ+,#+ /%2+^F1+P8#&*)+I#)3.)%2+M+[TZ+(%/3.)%2d+#2'*+,3b#&#+:*)+/*+&#$*&'%,*+$*&+7%&&%2:*2%+#'+%/6+#)+WBBSG+WB+$%:3#)'#2+:*)+^F1+,#+/%+:8%/#2+2R/*+S+U[BZV+P8#&*)+I#)3.)%2+M+AT+UXBZV+(%/3.)%26C+a2'%+,3P#&#):3%+

9

13

11

12

6

2 2

4

1 1 1 1 1

0

2

4

6

8

10

12

14

HNF

Hemangiomas

Absceso

Hepatocarcinoma

Quiste hepatico simple

Infiltracion grasa focal

Hamartoma

Amiloidosis 

Hematoma subcpsular

Biloma

Metastasis hipodensas unicas

Adenoma

Cistoadenoma

E'57#"++KG+=j(#&*+'*'%/+,#+/#23*)#2+P*:%/#2+N#$O'3:%26

5 0 Enero­Marzo 2012

2#+,#I#+%+ /%+ ,#'#::3R)+$&#:*K+ M+ /%+ %::#23I3/3,%,+,#+/*2+(D'*,*2+,#+3(%.#);+:*(*+/%+@7?";+_8#+'#)#(*2+N*M+#)+,0%6+a)+/%2+/#23*)#2+N3$#&Q%2:8/%&#2+_8#+&#$*&­'%(*2+2#+3):/8M#+%/+717;+%/+N#(%).3*(%+M+%+/%+1=F+_8#+P8#&*)+(#\*&+:%&%:'#&3K%,%2+#)+/%+P%2#+%&'#&3%/+,#/+#2'8,3*+,3)O(3:*+$*&+@7?"6+=3)*+#'+%/6+%)%/3K%&*)+%+/%2++/#23*)#2+N#$O'3:%2+$*&+28+P*&(%+,#+&#%/:#+#)+/%+P%2#+%&'#&3%/+M+&#$*&'%&*)+8)+Q%/*&+$&#,3:'3Q*+$*23'3Q*+,#+YWZ+M+8)%+#2$#:3b:3,%,+,#+YBZ+#)+/*2+N#(%).3*(%2;+(#­'O2'%232+M+7176S+h'&*2+,%'*2+%2*:3%,*2+%/+717+P8#&*)+/%+N#$%'*$%'0%+$&#Q3%;+P02'8/%++%&'#&3*$*&'%/+M+'&*(I*232+,#+/%+Q#)%+$*&'%+:*(*+/*+&#$*&'%,*+$*&+?*&3+#'+%/6;+_8#+,#(8#2'&%)+/%+%2*:3%:3R)+,#+/*2+717+:*)+P02'8/%+%&'#­&3*$*&'%/67  -)%(*'*+q+#'+%/6+%)%/3K%&*)+/%2+3(O.#)#2+,#+@7+#)+C+$%:3#)'#2+:*)+717+#):*)'&%),*+*I2'&8::3R)+,#+/%2+&%(%2+,#+/%+Q#)%+$*&'%+$*&+'&*(I*2326Y+a)+/*2+N#(%).3*(%2+%'0$3:*2+2#+*I2#&QR;+,#+ 3.8%/+(%)#&%;+8)%+ P02'8/%+ %&'#&3*$*&'%/6+kM8)+ rk+#'+ %/6+ #):*)'&%&*)+_8#+ )*+ )#:#2%&3%(#)'#+ /%+ $&#2#):3%+ ,#+ 8)%+ P02'8/%+%&'#&3*$*&'%/+2#+%2*:3%I%+:*)+'8(*&+(%/3.)*+M%+_8#+2#+N%+#):*)'&%,*+#)+%2*:3%:3R)+:*)+N#(%).3*(%26` La (%M*&0%+ ,#+ /%2+ /#23*)#2+ N3$*Q%2:8/%&#2+ _8#+#):*)­'&%(*2+:*&&#2$*),3#&*)+%+_832'#2+N#$O'3:*2+23($/#26+^%2+ /#23*)#2+ 2#8,*'8(*&%/#2+ P8#&*)+ &#$&#2#)'%,%2+$*&+/*2+%I2:#2*2+N#$O'3:*2+_8#+P8#&*)+,&#)%,*2+M+28+*&3.#)+P8#+$3R.#)*+U[S6[ZV+#)+:%)'3,%,+:#&:%)%+:*)+/%+$8I/3:%,%+$*&+r#PP&#M+Jk+#'+%/6G+*&3.#)+$3R.#)*+#)+[BZ+,#+/*2+%I2:#2*2+,&#)%,*210+M;+#)+2#.8),*+/8.%&;+/%+3)b/'&%:3R)+.&%2%6+1%/Q*(2#+>J+#'+%/6+&#%/3K%&*)+8)%+:%&%:'#&3K%:3R)+$*&+@7?"+,#+/%+3)b/'&%:3R)+.&%2%+_8#+&#$&#2#)'%+^F1+(%/+,#/3(3'%,%;+28I2#.(#)'%&3%;+_8#+)*+ :%82%+#P#:'*+ ,#+(%2%+ M+ )*+ ,#2$/%K%+ /*2+ Q%2*26+a/+ $&*I/#(%+,3%.)R2'3:*+ 2#+ $&#2#)'%+ :8%),*+ #E32'#+3)b/'&%:3R)+.&%2%+:*)+oP*:*2p+,#+$%&D)_83(%+N#$O'3:*+

2%)*+M%+_8#+#2'*+$8#,#+23(8/%&+8)%+/#23R)+'8(*&%/+*+(#'%2'O23:%11+U3(%.#)+AV6h'&%+ /#23R)+ 2#8,*'8(*&%/+ P8#+ #/+ N#(%'*(%+ 28I­

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5 1Enero­Marzo 2012

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5 2 Enero­Marzo 2012

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5 3Enero­Marzo 2012

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5 4 Enero­Marzo 2012

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5 6 Enero­Marzo 2012

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