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原发性肝、胆、胰及胃癌的周围脏器及淋巴结转移的CT诊断
引用本文:刘成环,张蕾,郝楠馨,任明思,李俊华.原发性肝、胆、胰及胃癌的周围脏器及淋巴结转移的CT诊断[J].医学影像学杂志,2010,20(7):993-995.
作者姓名:刘成环  张蕾  郝楠馨  任明思  李俊华
作者单位:1. 青海省西宁市第一人民医院放射科,青海,西宁,810000
2. 同济大学附属上海东方医院放射科,上海,200120
摘    要:目的:分析本组原发性肝、胆、胰及胃癌的上腹部淋巴结转移的CT表现,提高CT对本组原发性肝、胆、胰及胃癌的上腹部淋巴结转移诊断重要性的认识。方法:回顾性分析67例经手术、病理证实的有上腹部转移的原发性肝、胆、胰及胃癌的CT表现。结果:原发性肝、胆、胰及胃癌的上腹部淋巴结转移及周围结构侵犯的CT征象,主要有上腹部淋巴结转移,邻近脏器的侵犯,血管、腹膜、种植转移及血道转移。结论:原发性肝、胆、胰及胃癌的上腹部淋巴结转移虽有相同的CT征象,但亦有各自的特点。

关 键 词:体层摄影术  X线计算机  原发性肝癌  胆囊癌  胰腺癌  胃癌  转移

CT diagnosis of upper abdominal metastasis of primary hepatoma, cholecystic carcinoma, pancreatic carcinoma and gastric carcinoma
LIU Cheng-huan,ZHANG Lei,HAO Nan-xin,REN Ming-si,LI Jun-hua.CT diagnosis of upper abdominal metastasis of primary hepatoma, cholecystic carcinoma, pancreatic carcinoma and gastric carcinoma[J].Journal of Medical Imaging,2010,20(7):993-995.
Authors:LIU Cheng-huan  ZHANG Lei  HAO Nan-xin  REN Ming-si  LI Jun-hua
Institution:1.Department of Radiology,Qinghai Province Xining City,The Fist People's Hospital,Xining 810000,P.R.China2.Department of Radiology,Shanghai East Hospital,Tongji University School of Medical,Shanghai 200120,P.R.China
Abstract:Objective:To analyze the CT manifestation and to improve the CT diagnosis for upper abdominal metastasis of primary hepatoma,cholecystic carcinoma,pancreatic carcinoma and gastric carcinoma.Methods:The CT manifestations of 67 surgically and pathologically proved cases of primary hepatoma,cholecystic carcinoma,pancreatic carcinoma and gastric carcinoma with metastatic lesions in the upper abdominal region were studied.Results:The CT signs of upper abdominal metastasis of primary hepatoma,cholecystic carcinoma,pancreatic carcinoma and gastric carcinoma included metastatic lymphadenopathy,neighbouring organs transfer,metastasis of peritoneal implant and blood.Conclusion:Although the same CT signs,upper abdominal metastasis of primary hepatoma,cholecystic carcinoma,pancreatic carcinoma and gastric carcinoma has different features.
Keywords:Primary hepatoma  Cholecystic carcinoma  Pancreatic carcinoma and gastric carcinoma  Metastasis  CT
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