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| 肝细胞癌合并胆管癌栓的CT表现与病理对照分析 | |
| 引用本文： | 刘庆余,张卫东,胡辉军,李海刚,陈健宇.肝细胞癌合并胆管癌栓的CT表现与病理对照分析[J].临床放射学杂志,2010,29(2). |
| 作者姓名： | 刘庆余 张卫东 胡辉军 李海刚 陈健宇 |
| 作者单位： | 1. 中山大学附属第二医院放射科,广州,510120 2. 中山大学肿瘤防治中心放射科,广州,510060 3. 中山大学附属第二医院病理科,广州,510120 |
| 摘 要： | 目的分析肝细胞癌(hepatocellular carcinoma,HCC)合并胆管癌栓的CT及病理表现,以提高影像诊断准确性。资料与方法回顾性分析9例HCC合并胆管癌栓的临床、CT及病理表现。结果9例均在术前CT检查中发现HCC及胆管癌栓病灶。在CT像上肝内肿瘤呈现典型HCC表现。胆管癌栓在CT像上表现为扩张的胆管内填充有软组织块影,呈条索状或柱状,胆管远段扩张,胆管壁无增厚及肿瘤侵犯,在动脉期胆管癌栓呈现早期强化,无延迟强化改变。9例中有2例合并有门静脉癌栓。9例中低分化HCC8例,分化较好1例。胆管癌栓在显微镜下其细胞形态与肝内肿瘤原发灶相似。结论HCC合并胆管癌栓的CT表现有一定特点,CT对病灶的检出及定性诊断具有重要价值。 |
| 关 键 词： | 肝细胞癌 胆管 病理学 体层摄影术 X线计算机 |
A Comparative Analysis of CT Findings with Pathology in Nine Cases of Heatocellular Carcinoma with Bile Duct Tumor Thrombi |
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| LIU Qingyu,ZHANG Weidong,HU Huijun,et al..A Comparative Analysis of CT Findings with Pathology in Nine Cases of Heatocellular Carcinoma with Bile Duct Tumor Thrombi[J].Journal of Clinical Radiology,2010,29(2). | |
| Authors: | LIU Qingyu ZHANG Weidong HU Huijun |
| Institution: | LIU Qingyu,ZHANG Weidong,HU Huijun,et al.Department of Radiology,The Second Affiliated Hospital,Sun Yat-sen University,Guangzhou,Guangdong Province 510120,P.R.China |
| Abstract: | Objective To analyze the CT and pathological features of hepatocellular carcinoma(HCC) with bile duct tumor thrombi. Materials and Methods Clinical,CT and pathological data of 9 patients with HCC with bile duct tumor thrombi were reviewed retrospectively. Results Lesions of HCC and bile duct tumor thrombi were found in 9 patients on preoperative CT images. The CT findings of HCC in liver were typical in all 9 patients. The bile ducts filled with cord-like soft-tissue mass were visualized in nine cases of bi... |
| Keywords: | Hepatocellular carcinoma Bile duct Pathology Tomography X-ray computed |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |