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간 내 호산구 침윤의 Sonazoid 조영 초음파 소견: 증례 보고

Focal Hepatic Eosinophilic Infiltration in Contrast-Enhanced Ultrasonography with Sonazoid: A Case Report

  • 이동준 (차의과학대학교 분당차병원 영상의학과) ;
  • 김대중 (차의과학대학교 분당차병원 영상의학과) ;
  • 김광일 (차의과학대학교 분당차병원 병리과)
  • Lee, Dong Jun (Department of Radiology, CHA Bundang Medical Center, CHA University) ;
  • Kim, Dae Jung (Department of Radiology, CHA Bundang Medical Center, CHA University) ;
  • Kim, Gwangil (Department of Pathology, CHA Bundang Medical Center, CHA University)
  • 투고 : 2017.07.14
  • 심사 : 2017.09.18
  • 발행 : 2018.03.01

초록

간 내 호산구 침윤은 종종 다양한 호산구 관련 질환과 연관이 있다. 간 내 호산구 침윤은 영상의학적 검사에서 우연히 발견되며 대개 작고 다수며, 형태가 명백하지 않으며 타원형 혹은 둥근 형태의 병변으로 발현된다. 때때로 간 내 호산구 침윤은 암 병력이 있는 환자의 경우 간 내 전이로 오인되기도 한다. 저자들은 초음파 조영제인 Sonazoid를 이용한 간 내 호산구 침윤의 조영초음파 소견을 보고하고자 한다.

Focal eosinophilic infiltration in the liver is often associated with various eosinophilrelated conditions. Focal eosinophilic infiltration in the liver is often identified incidentally by radiologic examinations ordered for other reasons, and is usually visualized radiographically as small, ill-defined, oval or round nodules. Focal eosinophilic infiltration in the liver may sometimes mimic hepatic metastases in those patients who present with a history of malignancy. Here, we present two cases of contrast enhanced ultrasonography findings of focal hepatic eosinophilic infiltration using Sonazoid (perfluorobutane; Daiichi-Sankyo, GE, Tokyo, Japan).

키워드

참고문헌

  1. Lee WJ, Lim HK, Lim JH, Kim SH, Choi SH, Lee SJ. Foci of eosinophil-related necrosis in the liver: imaging findings and correlation with eosinophilia. AJR Am J Roentgenol 1999;172:1255-1261 https://doi.org/10.2214/ajr.172.5.10227499
  2. Lim JH, Lee KS. Eosinophilic infiltration in Korea: idiopathic? Korean J Radiol 2006;7:4-6 https://doi.org/10.3348/kjr.2006.7.1.4
  3. Yanagisawa K, Moriyasu F, Miyahara T, Yuki M, Iijima H. Phagocytosis of ultrasound contrast agent microbubbles by Kupffer cells. Ultrasound Med Biol 2007;33:318-325 https://doi.org/10.1016/j.ultrasmedbio.2006.08.008
  4. Yoo SY, Han JK, Kim YH, Kim TK, Choi BI, Han MC. Focal eosinophilic infiltration in the liver: radiologic findings and clinical course. Abdom Imaging 2003;28:326-332 https://doi.org/10.1007/s00261-002-0050-2
  5. Yu JS, Yoon SW, Park MS, Lee JH, Kim KW. Eosinophilic hepatic necrosis: magnetic resonance imaging and computed tomography comparison. J Comput Assist Tomogr 2005;29:765-771 https://doi.org/10.1097/01.rct.0000182856.75273.dd
  6. Kim YK, Kim CS, Moon WS, Cho BH, Lee SY, Lee JM. MRI findings of focal eosinophilic liver diseases. AJR Am J Roentgenol 2005;184:1541-1548 https://doi.org/10.2214/ajr.184.5.01841541
  7. Park MS, Kim MJ, Lim JS, Kim SH, Kim HS, Chung YE, et al. Metastasis versus focal eosinophilic infiltration of the liver in patients with extrahepatic abdominal cancer: an evaluation with gadobenate dimeglumine-enhanced magnetic resonance imaging. J Comput Assist Tomogr 2009;33:119-124 https://doi.org/10.1097/RCT.0b013e3181641b1a
  8. Ahn SJ, Choi JY, Kim KA, Kim MJ, Baek SE, Kim JH, et al. Focal eosinophilic infiltration of the liver: gadoxetic acid-enhanced magnetic resonance imaging and diffusion-weighted imaging. J Comput Assist Tomogr 2011;35:81-85 https://doi.org/10.1097/RCT.0b013e3181f39f30
  9. Cho ES, Yu JS, Kim MJ, Kim JH, Chung JJ, Kim KW. Focal eosinophilic necrosis on superparamagnetic iron oxide-enhanced MRI. AJR Am J Roentgenol 2010;194:1296-1302 https://doi.org/10.2214/AJR.09.3208
  10. Hatanaka K, Kudo M, Minami Y, Ueda T, Tatsumi C, Kitai S, et al. Differential diagnosis of hepatic tumors: value of contrast-enhanced harmonic sonography using the newly developed contrast agent, Sonazoid. Intervirology 2008;51 Suppl 1:61-69 https://doi.org/10.1159/000122600