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肝胆管囊腺癌的MRI表现
引用本文:赵国礼,程红岩,龙行安,俞花,.肝胆管囊腺癌的MRI表现[J].放射学实践,2009,24(3).
作者姓名:赵国礼  程红岩  龙行安  俞花  
作者单位:1. 第二军医大学附属东方肝胆外科医院放射科,上海,200438
2. 第二军医大学附属东方肝胆外科医院病理科,上海,200438
摘    要:目的:探讨肝胆管囊腺癌(HBCAC)的MRI表现,提高肝胆管囊腺癌的诊断准确性.方法:回顾性分析9例经病理证实的肝胆管囊腺癌的MRI表现,所有患者均行MR平均和三期动态增强扫描.结果:9例中单囊性病灶8例,多囊性病灶1例.T1WI上6例表现为囊状低信号影,囊内分隔和囊壁厚薄不均,可见壁结节或乳头状突起;3例囊壁光滑,囊内呈稍高信号影,可见结节状软组织信号影.T2WI上病灶以高信号为主,囊内分隔、壁结节及软组织呈低信号.增强扫描动脉期示囊内分隔、壁结节和软组织明显强化,门脉期及延迟期强化仍较明显.结论:平扫及动态增强MRI能较好反映肝胆管囊腺癌的影像学特点,对本病的诊断及鉴别诊断有重要价值.

关 键 词:磁共振成像  胆管肿瘤  肝肿瘤

MRI Findings of Hepatic Biliary Cystadenocarcinoma
ZHAO Guo-li,CHENG Hong-yan,LONG Xing-an,et al..MRI Findings of Hepatic Biliary Cystadenocarcinoma[J].Radiologic Practice,2009,24(3).
Authors:ZHAO Guo-li  CHENG Hong-yan  LONG Xing-an  
Institution:ZHAO Guo-li,CHENG Hong-yan,LONG Xing-an,et al.Department of Radiology,Eastern Hepatobiliary Surgery Hospital,the Second Military Medical University,Shanghai 200438,P.R.China
Abstract:Objective:To analyze the MRI findings of hepatic biliary cystadenocarcinoma,in order to improve the accuracy of diagnosis.Methods:MRI findings of hepatic biliary cystadenocarcinoma proved by pathology in nine cases were retrospectively analyzed and the correlated literatures were reviewed.Results:Of the nine cases with hepatic biliary cystadenocarcinoma,there were 8 cases with multilocular cystic lesion and 1 case with solitary cystic lesion.On T1WI six cases showed hypointense cystic lesion with irregular ...
Keywords:Magnetic resonance imaging  Biliary neoplasms  Liver neoplasms  
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