中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
11期
18-20
,共3页
肝肿瘤%胆管上皮癌%形态学分型%临床表现
肝腫瘤%膽管上皮癌%形態學分型%臨床錶現
간종류%담관상피암%형태학분형%림상표현
Liver neoplasms%Cholangiocarcinoma%Morphology classification%Clinical presentation
目的 进一步探讨肿块并胆管浸润型肝内胆管细胞癌(ICC)多层螺旋CT(MSCT)影像表现及其临床特点.方法 回顾性分析经病理证实的15例肿块并胆管浸润型ICC患者的MSCT影像表现及临床资料,详细记录病灶的位置、大小、平扫密度、是否合并周围胆管扩张及肝内胆管结石等影像表现及临床症状、实验室检查等.结果 15例肿块并胆管浸润型ICC的MSCT主要影像表现:密度不均匀,其中等低混杂密度14例；高低混杂密度1例,术后病理证实为出血.边界不清,肝叶萎缩10例,邻近肝包膜回缩11例.合并有周围胆管扩张11例,肝内胆管结石5例,胆管壁增厚伴或不伴胆管狭窄9例,卫星灶10例.增强扫描见病灶周围片状血供分布异常区11例,动脉期边缘强化11例,均有延迟强化,似蜂窝样强化3例,相邻的门脉受压或侵犯11例.结论 肿块并胆管浸润型ICC有其相对特征的MSCT影像表现及临床特点.
目的 進一步探討腫塊併膽管浸潤型肝內膽管細胞癌(ICC)多層螺鏇CT(MSCT)影像錶現及其臨床特點.方法 迴顧性分析經病理證實的15例腫塊併膽管浸潤型ICC患者的MSCT影像錶現及臨床資料,詳細記錄病竈的位置、大小、平掃密度、是否閤併週圍膽管擴張及肝內膽管結石等影像錶現及臨床癥狀、實驗室檢查等.結果 15例腫塊併膽管浸潤型ICC的MSCT主要影像錶現:密度不均勻,其中等低混雜密度14例；高低混雜密度1例,術後病理證實為齣血.邊界不清,肝葉萎縮10例,鄰近肝包膜迴縮11例.閤併有週圍膽管擴張11例,肝內膽管結石5例,膽管壁增厚伴或不伴膽管狹窄9例,衛星竈10例.增彊掃描見病竈週圍片狀血供分佈異常區11例,動脈期邊緣彊化11例,均有延遲彊化,似蜂窩樣彊化3例,相鄰的門脈受壓或侵犯11例.結論 腫塊併膽管浸潤型ICC有其相對特徵的MSCT影像錶現及臨床特點.
목적 진일보탐토종괴병담관침윤형간내담관세포암(ICC)다층라선CT(MSCT)영상표현급기림상특점.방법 회고성분석경병리증실적15례종괴병담관침윤형ICC환자적MSCT영상표현급림상자료,상세기록병조적위치、대소、평소밀도、시부합병주위담관확장급간내담관결석등영상표현급림상증상、실험실검사등.결과 15례종괴병담관침윤형ICC적MSCT주요영상표현:밀도불균균,기중등저혼잡밀도14례；고저혼잡밀도1례,술후병리증실위출혈.변계불청,간협위축10례,린근간포막회축11례.합병유주위담관확장11례,간내담관결석5례,담관벽증후반혹불반담관협착9례,위성조10례.증강소묘견병조주위편상혈공분포이상구11례,동맥기변연강화11례,균유연지강화,사봉와양강화3례,상린적문맥수압혹침범11례.결론 종괴병담관침윤형ICC유기상대특정적MSCT영상표현급림상특점.
Objective To study the image findings and clinical characteristics ofmultislice helical CT (MSCT) in intrahepatic mass-forming cholangiocarcinomas.Methods Fifteen patients of pathologically confirmed intrahepatic mass-forming cholangiocarcinomas were studied retrospectively.The image findings of MSCT and clinical manifestations,laboratory tests of each case were recorded respectively.Results All patients image findings of MSCT:density was uneven,moderately low congestion densities was 14 patients.High and low congestion densities was 1 patient,pathologically confirmed bleeding.Obscure boundary and atrophy of liver lobe was 10 patients,adjacent liver capsule retraction was 11 patients,combined with ductal dilatation was 11 patients,intrabepatic calculi was 5 patients,ductal wall thickening with or without narrowed bile duct was 9 patients,satellite nodules was 10 patients.Enhancement scanning showed:peripheral enhancement was 11 patients,arterial phase border enhancement was 11 patients,all had delayed enhancement,honeycomb-like enhancement was 3 patients,obliteration or invasion of portal vein was 11 patients.Conclusion There are some clinical characteristics of MSCT findings in intrahepatic mass-forming cholangiocarcinomas.
