| 儿童肝母细胞瘤CT征象及其与病理的关系 |
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| 引用本文： | 白凤森,袁新宇,闫淯淳,郭宏伟,赵华. 儿童肝母细胞瘤CT征象及其与病理的关系[J]. 中国医学影像技术, 2017, 33(9): 1297-1300 |
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| 作者姓名： | 白凤森 袁新宇 闫淯淳 郭宏伟 赵华 |
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| 作者单位： | 首都儿科研究所附属儿童医院放射科, 北京 100020,首都儿科研究所附属儿童医院放射科, 北京 100020,首都儿科研究所附属儿童医院放射科, 北京 100020,首都儿科研究所附属儿童医院放射科, 北京 100020,首都儿科研究所附属儿童医院放射科, 北京 100020 |
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| 摘 要： | 目的 探讨儿童肝母细胞瘤CT征象及其与病理分型间的关系。方法 回顾性分析我院经病理证实的110例儿童肝母细胞瘤患者的CT及病理资料。结果 110例儿童肝母细胞瘤患儿，肿瘤位于右叶67例（67/110，60.90%）、左右叶25例（25/110，22.72%）、左叶15例（15/110，13.63%）、尾叶3例（3/110，2.72%）；瘤体平均大小为（287.14±272.36）cm3；多数病灶为单发（94/110，85.45%）、类圆形（96/110，87.27%）；病变多分界清晰（86/110，78.18%）；瘤内坏死囊变不规则102例、钙化60例；肺转移较常见（23/110，20.90%）；约50.90%血管受累（56/110），5例出现淋巴结转移。不同病理分型儿童肝母细胞瘤患儿的肿瘤钙化、肿瘤均匀强化程度差异存在统计学意义（P均<0.001）。结论 CT检查可对肝母细胞瘤术前诊断及鉴别诊断提供帮助。
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| 关 键 词： | 肝母细胞瘤 儿童 病理 体层摄影术，X线计算机 |
| 收稿时间： | 2017-04-13 |
| 修稿时间： | 2017-08-14 |
CT findings of pediatric hepatoblastoma and correlation with pathological subtypes |
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| BAI Fengsen,YUAN Xinyu,YAN Yuchun,GUO Hongwei and ZHAO Hua. CT findings of pediatric hepatoblastoma and correlation with pathological subtypes[J]. Chinese Journal of Medical Imaging Technology, 2017, 33(9): 1297-1300 |
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| Authors: | BAI Fengsen YUAN Xinyu YAN Yuchun GUO Hongwei ZHAO Hua |
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| Affiliation: | Department of Radiology, Children''s Hospital, Capital Institute of Pediatrics, Beijing 100020, China,Department of Radiology, Children''s Hospital, Capital Institute of Pediatrics, Beijing 100020, China,Department of Radiology, Children''s Hospital, Capital Institute of Pediatrics, Beijing 100020, China,Department of Radiology, Children''s Hospital, Capital Institute of Pediatrics, Beijing 100020, China and Department of Radiology, Children''s Hospital, Capital Institute of Pediatrics, Beijing 100020, China |
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| Abstract: | Objective To explore the CT findings of pediatric hepatoblastoma and its correlation with pathological subtypes. Methods CT findings and pathological characteristics of 110 patients with hepatoblastoma confirmed by pathology were retrospectively analyzed. Results The locations of the tumor were right lobe (67/110, 60.90%), right and left lobe (25/110, 22.72%), left lobe (15/110, 13.63%) and caudate lobe (3/110, 2.72%). The average tumor size was (287.14±72.36) cm3. Most cases were solitary (94/110, 85.45%) and round shape (96/110, 87.27%). Most cases were well defined (86/110, 78.18%). Necrosis were irregular in 102 cases, calcification were in 60 cases. Lung metastases were common (23/110, 20.90%) and vessel involvement were common (56/110, 50.90%). Lymph node metastasis was in 5 cases. Calcification and homogeneous enhancement in different pathological types had statistically significance (both P<0.001). Conclusion CT is helpful for pre-operation and pathological diagnose. |
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| Keywords: | Hepatoblastoma Child Pathology Tomography,X-ray computed |
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