| 19例混合型肝癌临床病理特点及增强CT表现分析 |
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| 引用本文： | 李辉,张庆雷,刘松,伏旭,史炯,陈骏,周正扬,何健. 19例混合型肝癌临床病理特点及增强CT表现分析[J]. 中国CT和MRI杂志, 2016, 0(5): 81-84. DOI: 10.3969/j.issn.1672-5131.2016.05.026 |
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| 作者姓名： | 李辉 张庆雷 刘松 伏旭 史炯 陈骏 周正扬 何健 |
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| 作者单位： | 1. 南京大学医学院附属鼓楼医院医 学影像科;2. 南京大学医学院附属鼓楼医院普 外科;3. 南京大学医学院附属鼓楼医院病 理科 江苏 南京 210008 |
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| 基金项目： | 江苏省卫生计生科研项目青年基金(Q201508)，江苏省“六大人才高峰”(2015-WSN-079)项目 |
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| 摘 要： | 目的探讨混合型肝癌的临床病理特点及增强CT表现。方法回顾性分析19例经手术病理证实的混合型肝癌的临床病理特点及增强CT表现。结果男性14例,女5例,平均年龄64.2岁(27-74岁)。CT增强扫描表现为4种不同的强化方式:I型为快进快出型强化(5例);II型为渐进型强化(7例);III型为不均匀持续型强化(3例);IV型为此起彼伏型强化(4例)。肝门部淋巴结转移7例(36.84%)。结论混合型肝癌老年男性多见,以肝门部淋巴结为主要转移途径。不均匀持续型及此起彼伏型的CT强化方式有助于提示诊断。
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| 关 键 词： | 肝肿瘤 混合型肝癌 肝细 胞肝癌 |
Clinicopathological and Contrast Enhanced CT Characters in 19 Cases of Combined Hepatocellular-cholangiocarcinoma |
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| Abstract: | Objective To explore the clinico-pathological and contrast enhanced CT characteristics of combined hepatocellular-cholangiocarcinoma (CHC).Methods The clinico-pathological and contrast enhanced CT characteristics of CHC in 19 cases confirmed by postoperative pathology, were analyzed retrospectively.Results There were14 men and 5 women with a mean age of 64.2 years (range 27-74). The characteristics of contrast enhanced CT could be summarized to 4 different kinds of enhancement patterns: type I as wash in and wash out (5 cases), Type II as gradual enhancement (7 cases), Type III as inhomogeneous sustained enhancement (3 cases), Type IV as one falls another rises (4 cases).Conclusion CHCs mainly affected old men, with some cases showing characteristic CT enhancement patterns. |
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| Keywords: | Liver Neoplasms Carcinoma Hepatocellular Cholangiocarcinoma Tomography,X-ray Computed |
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