Hepatic complications of oral contraceptive pills and estrogen on MRI: Controversies and update - Adenoma and beyond

被引：10

作者：

Ponnatapura, Janardhana ^{[1
,2
]}

Kielar, Ania ^{[3
,4
]}

Burke, Lauren M. B. ^{[5
]}

Lockhart, Mark E. ^{[6
]}

Abualruz, Abdul-Rahman ^{[1
,2
]}

Tappouni, Rafel ^{[1
,2
]}

Lalwani, Neeraj ^{[1
,2
]}

机构：

[1] Wake Forest Univ, Med Ctr Blvd, Winston Salem, NC 27157 USA

[2] Baptist Hlth, Med Ctr Blvd, Winston Salem, NC 27157 USA

[3] Univ Ottawa, Ottawa, ON, Canada

[4] Univ Toronto, Toronto, ON, Canada

[5] Univ N Carolina, Chapel Hill, NC 27515 USA

[6] Univ Alabama Birmingham, Birmingham, AL USA

来源：

MAGNETIC RESONANCE IMAGING | 2019年 / 60卷

关键词：

Hepatic adenoma; Oral contraceptive pills and estrogen; Budd-Chiari syndrome; Peliosis; Inflammatory; HNF-1; alpha-mutated; beta-Catenin-mutated and unclassified; FOCAL NODULAR HYPERPLASIA; GENERALIZED PELIOSIS HEPATIS; BUDD-CHIARI-SYNDROME; LONG-TERM USE; HEPATOCELLULAR ADENOMA; LIVER ADENOMATOSIS; IMAGING FEATURES; MALIGNANT-TRANSFORMATION; CLASSIFICATION; MANAGEMENT;

D O I：

10.1016/j.mri.2019.04.010

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Hepatic complications of oral contraceptive pills and exogenous estrogens include intrahepatic canalicular cholestasis, neoplasm formation and vascular pathologies. While it remains controversial as to whether estrogen plays a role in focal nodular hyperplasia, hemangioma or hamartoma, exposure to oral contraceptive pills and estrogen has a strong association with hepatic adenomas. Four different subgroups of adenomas have been described: Inflammatory, HNF-1 alpha-mutated, beta-catenin-mutated and unclassified. Vascular complications may include Budd-Chiari syndrome, vascular thrombosis, dilated sinusoids and peliosis.

引用

页码：110 / 121

页数：12

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