{"id":7515,"date":"2022-11-22T13:00:22","date_gmt":"2022-11-22T10:00:22","guid":{"rendered":"https:\/\/urbancare.clinic\/multifocal-nodular-steatosis-mimicking-malignancy\/"},"modified":"2022-11-22T13:00:22","modified_gmt":"2022-11-22T10:00:22","slug":"multifocal-nodular-steatosis-inayoiga-ubaya","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/sw\/multifocal-nodular-steatosis-mimicking-malignancy\/","title":{"rendered":"Multifocal nodular steatosis inayoiga ubaya"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/multifocal-nodular-steatosis-mimicking-malignancy.jpg\" class=\"ff-og-image-inserted\" style=\"display:none\"><\/div>\n<p><span class=\"highwire-journal-article-marker-start\"><\/span><\/p>\n<p id=\"p-1\">Mwanamume aliyefaa hapo awali alionyeshwa na upungufu wa kupumua. Radiografia ya kifua ilionyesha msongamano wa tundu la chini kulia. Vipimo vya kazi ya ini, tafiti za kuganda na viwango vya alphafetoprotein hazikuwa za kushangaza. Kushindwa kupumua kwa mgonjwa kulijitatua, lakini CT ya kifua-tumbo-pelvis iliyofanywa ili kuwatenga ugonjwa mbaya ilifunua vidonda vingi vya ini vinavyohusiana na metastases (takwimu 1). Biopsy ya ini inayoongozwa na ultrasound inayolenga vidonda hivi ilitekelezwa kwa mafanikio. Histolojia ilionyesha mabadiliko ya mafuta lakini hakuna ushahidi wa ugonjwa mbaya. Ili kuepuka uwezekano wa kuchukua sampuli\u2026 <\/p>\n<p><span class=\"highwire-journal-article-marker-end\"><\/span><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/e33?rss=1\">Chanzo cha matibabu cha kila siku<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p>Mwanamume aliyefaa hapo awali alionyeshwa na upungufu wa kupumua. Radiografia ya kifua ilionyesha msongamano wa tundu la chini kulia. Vipimo vya kazi ya ini, tafiti za kuganda na viwango vya alphafetoprotein hazikuwa za kushangaza. Kushindwa kupumua kwa mgonjwa kulijitatua, lakini uchunguzi wa CT ya kifua-tumbo-pelvis ili kuwatenga ugonjwa mbaya ulifunua vidonda vingi vya ini vinavyohusiana na metastases (<cross-ref type=\"fig\" refid=\"F1\">takwimu 1<\/cross-ref>) Biopsy ya ini inayoongozwa na ultrasound inayolenga vidonda hivi ilitekelezwa kwa mafanikio. Histolojia ilionyesha mabadiliko ya mafuta lakini hakuna ushahidi wa ugonjwa mbaya. Ili kuepuka uwezekano wa kosa la sampuli, biopsy ya pili iliyoongozwa na ultrasound ya vidonda ilifanyika. Tena, hakuna tishu mbaya zilizotambuliwa. MRI ya ini ilifanywa (<cross-ref type=\"fig\" refid=\"F2\">takwimu 2A,B<\/cross-ref>) Picha za nje ya awamu zilionyesha ishara ya kuacha katikati ya vidonda (<cross-ref type=\"fig\" refid=\"F2\">takwimu 2B<\/cross-ref>), inayoonyesha maudhui ya lipid ya ndani ya seli na kupendekeza mabadiliko ya steatotiki. Mgonjwa aligunduliwa na multifocal nodular steatosis (MNS), alihakikishiwa na kuruhusiwa.<\/p>\n<p>Vidonda vya MNS vinaweza kuwa vigumu kutofautisha na ugonjwa wa metastatic kwa sababu wao\u2026<\/p>","protected":false},"author":2,"featured_media":7516,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":{"page_builder":"","fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/multifocal-nodular-steatosis-mimicking-malignancy.jpg","fifu_image_alt":"","footnotes":""},"categories":[185],"tags":[],"class_list":["post-7515","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-medical-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Multifocal nodular steatosis mimicking malignancy - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/sw\/multifocal-nodular-steatosis-inayoiga-ubaya\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Multifocal nodular steatosis mimicking malignancy - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"A previously fit man presented with breathlessness. Chest radiography showed right lower lobe density. Liver function tests, coagulation studies and alphafetoprotein levels were unremarkable. The patient&#039;s breathlessness self-resolved, but chest&ndash;abdomen&ndash;pelvis CT performed to exclude malignancy revealed multiple hypodense liver lesions concerning for metastases (figure 1). Ultrasound-guided percutaneous liver biopsy targeting these lesions was successfully carried out. Histology showed fatty change but no evidence of malignancy. To avoid the possibility of sampling error, a second ultrasound-guided biopsy of the lesions was performed. Again, no malignant tissue was identified. MRI of the liver was performed (figure 2A,B). The out-of-phase images showed signal drop-out in the middle of the lesions (figure 2B), indicative of intracellular lipid content and suggestive of steatotic change. The patient was diagnosed with multifocal nodular steatosis (MNS), reassured and discharged. MNS lesions can be difficult to distinguish from metastatic disease because they...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/sw\/multifocal-nodular-steatosis-inayoiga-ubaya\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2022-11-22T10:00:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/multifocal-nodular-steatosis-mimicking-malignancy.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/multifocal-nodular-steatosis-mimicking-malignancy\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/multifocal-nodular-steatosis-mimicking-malignancy\\\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#\\\/schema\\\/person\\\/a304a61bcf298680ee41e2e9ae193930\"},\"headline\":\"Multifocal nodular steatosis mimicking malignancy\",\"datePublished\":\"2022-11-22T10:00:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/multifocal-nodular-steatosis-mimicking-malignancy\\\/\"},\"wordCount\":81,\"publisher\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/multifocal-nodular-steatosis-mimicking-malignancy\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/urbancare.clinic\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/multifocal-nodular-steatosis-mimicking-malignancy.jpg\",\"articleSection\":[\"Research Articles\"],\"inLanguage\":\"sw\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/multifocal-nodular-steatosis-mimicking-malignancy\\\/\",\"url\":\"https:\\\/\\\/urbancare.clinic\\\/multifocal-nodular-steatosis-mimicking-malignancy\\\/\",\"name\":\"Multifocal nodular steatosis mimicking malignancy - 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