19例混合型肝癌临床病理特点及增强CT表现分析

发布时间：2018-01-11 22:24

本文关键词：19例混合型肝癌临床病理特点及增强CT表现分析　出处：《中国CT和MRI杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨混合型肝癌的临床病理特点及增强CT表现。方法回顾性分析19例经手术病理证实的混合型肝癌的临床病理特点及增强CT表现。结果男性14例,女5例,平均年龄64.2岁(27-74岁)。CT增强扫描表现为4种不同的强化方式:I型为快进快出型强化(5例);II型为渐进型强化(7例);III型为不均匀持续型强化(3例);IV型为此起彼伏型强化(4例)。肝门部淋巴结转移7例(36.84%)。结论混合型肝癌老年男性多见,以肝门部淋巴结为主要转移途径。不均匀持续型及此起彼伏型的CT强化方式有助于提示诊断。
[Abstract]:Objective to investigate the clinicopathological features and enhanced CT findings of mixed hepatocellular carcinoma (HCC). Methods the clinicopathological features and enhanced CT findings of 19 cases of mixed HCC proved by surgery and pathology were retrospectively analyzed. Five cases were female, the average age was 64.2 years old or 27-74 years old. Ct enhanced scan showed four different enhancement modes: type I: fast in and out type (n = 5) and fast in and out type (n = 5). Type II was progressive enhancement in 7 cases; III type was inhomogeneous continuous enhancement in 3 cases. There were 4 cases of enhanced type IV and 36.84 cases of lymph node metastasis in hilar of liver. Conclusion mixed type of liver cancer is more common in elderly men. The hepatic hilar lymph nodes were the main way of metastasis. The CT enhanced mode of heterogeneous persistent type and one after another type was helpful to the diagnosis of hepatic hilar lymph node.
【作者单位】：南京大学医学院附属鼓楼医院医学影像科;南京大学医学院附属鼓楼医院普外科;南京大学医学院附属鼓楼医院病理科;
【基金】：江苏省卫生计生科研项目青年基金(Q201508) 江苏省“六大人才高峰”(20 15-WSN-079)项目
【分类号】：R735.7;R730.44
【正文快照】： 5131.2016.05.026原发性肝癌是消化系统最常见的恶性肿瘤之一[1],其预后与很多因素相关,不同病理分化程度、病理类型是其中的重要因素[2-3]。混合型肝癌是原发性肝癌的一种少见类型,由于肿瘤中既含有肝细胞肝癌成分,也含有胆管细胞癌成分,其肿瘤临床病理特点及影像学表现特殊

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