肝、腎多囊腫的真相：與放射科報告的差異-肝膽腸胃科

CT診斷出肝雙葉囊腫、腎雙側囊腫？

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醫師您好: 我37歲男性，血檢肝、腎功能檢查均正常，2/18 照CT診斷出肝雙葉多顆囊腫、腎雙側微小囊腫，醫師請我每半年照腹部超音波追蹤，請問醫師:
1. 個別請胃腸肝膽科醫師及泌尿科醫師打開CT影像給我看，只看到肝、腎個別有單一顆小囊腫(肝1.2cm,腎0.Xcm)，但放射科醫師的CT報告上寫肝雙葉、腎雙側都有囊腫，為什麼會有這樣的差異呢?
2. 同上，經瞭解多囊肝/腎會影響肝/腎功能，我這樣算是多囊性肝/腎病嗎?
3. 肝/腎囊腫會變大的很快嗎?
4. 變大可以用內科囊腫引流術，大概是怎麼執行的呢? 針多大支，傷口多大，局部麻醉後還是會痛嗎?
5. 在照CT前就有先照腹部超音波，但當時診察的醫師沒有發現肝/腎囊腫，若每半年檢查還是照超音波，會不會也看不到囊腫? 要如何跟後續定期追蹤照腹部超音波的醫師說才能真的達到定期追蹤的效果呢?

以下為2/18 CT報告:
CT scan of abdomen with and without contrast enhancement:
＞ Several low attenuation nodules over bilateral lobes of liver, in favor of hepatic cysts
＞ No significant early enhanced nodular lesion is found over bilateral lobes of liver in this study.
＞ Patent main portal vein and bilateral major branches
＞ Bilateral tiny renal cysts.
＞ Non-distended UB is noted.
＞ Calcifications in prostate gland
＞ Bilateral mild hydrocele
＞ Slight fat stranding over peritoneal region
＞ Presence of minimal ascites in pelvis.
＞ The gallbladder, pancreas, spleen and visible lung fields are without specific abnormality
＞ No significant lymphadenopathy in the abdomen or retroperitoneum is identified
＞ No osteolytic or osteoblastic bone lesion is identified in visible bony structure.

IMP:
1.Bilateral hepatic cysts
2.Bilateral renal cysts
3.Calcifications in prostate gland

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WEI，30~39歲男性，詢問日期：2025/02/22