| 肝脏原发性恶性纤维组织细胞瘤动态CT表现与病理对照研究 |
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| 引用本文： | 谭艳,尚全良,肖恩华.肝脏原发性恶性纤维组织细胞瘤动态CT表现与病理对照研究[J].临床放射学杂志,2011,30(5). |
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| 作者姓名： | 谭艳 尚全良 肖恩华 |
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| 作者单位： | 长沙,中南大学湘雅二医院放射科,湖南,410011 |
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| 基金项目： | 十一五国家科技计划项目(2007BAI05B06); 国家自然科学基金(30070235、30470508,30870695); 湖南省自然科学基金资助项目(06JJ20081,07JJ6040) |
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| 摘 要： | 目的研究肝脏原发性恶性纤维组织细胞瘤(malignant fibrous histiocytoma,MFH)动态CT表现及其病理基础。资料与方法回顾性分析5例经病理证实的肝脏MFH的动态增强CT表现及病理学表现。结果 CT显示肝脏MFH呈不规则的囊实性肿块,直径4~15 cm,平扫密度不均,内见更低密度影,边界欠清晰,增强扫描肿块呈渐进性不均匀强化,延迟扫描轻度强化,1例术前肺部、肝内转移,1例术后肝内、肺部转移,1例术后肝脏肿块复发;病理示瘤细胞多为梭形,细胞核较肥胖,形态不规则,部分可见瘤巨细胞,瘤细胞呈束状、漩涡状排列,间质少,可见炎细胞浸润。免疫组织化学检查示:Vim、CD68阳性,CK、AFP、S100阴性。结论动态CT扫描能较好地显示肝脏原发MFH肿瘤内部结构。
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| 关 键 词： | 肝脏 原发性恶性纤维组织细胞瘤 病理 体层摄影术 X线计算机 |
Dynamic CT and Pathologic Features of Primary Hepatic Malignant Fibrous Histiocytoma |
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| TAN Yan,SHANG Quanliang,XIAO Enhua.Dynamic CT and Pathologic Features of Primary Hepatic Malignant Fibrous Histiocytoma[J].Journal of Clinical Radiology,2011,30(5). |
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| Authors: | TAN Yan SHANG Quanliang XIAO Enhua |
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| Institution: | TAN Yan,SHANG Quanliang,XIAO Enhua Department of Radiology,the Second Xiangya Hospital of Central-South University,Changsha 410011,Hunan Province,P.R.China |
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| Abstract: | Objective To investigate the dynamic CT imaging and pathologic features of primary hepatic malignant fibrous histiocytoma(MFH).Materials and Methods A retrospective analysis of CT imaging and pathologic features of five hepatic MFH who were diagnosed by pathology during 2005-2010 in our hospital.Results The performance of CT reveals that lesions were irregular mass with ill-defined border,the maximum diameters are 4-15 cm,and the density of lesion was inhomogeneous with some lower density in it.Enhanced sca... |
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| Keywords: | Hepatic Primary malignant fibrous histiocytoma Pathology Tomography X-ray computed |
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