肝内胆管细胞癌淋巴结转移的CT表现

发布时间：2018-03-16 08:35

本文选题：肝内胆管细胞癌　切入点：淋巴结转移　出处：《中国辐射卫生》2016年06期 　论文类型：期刊论文

【摘要】：目的探讨肝内胆管细胞癌淋巴结转移的CT特征。方法选择于2013年12月~2015年12月在我院治疗的肝内胆管细胞癌淋巴结转移患者86例,总结其螺旋CT表现,主要是观察转移淋巴结的大小、分布、密度,ICC转移淋巴结分组及淋巴结转移与肿瘤分化程度的关系。结果 186例患者中,共发生淋巴结转移42例,占48.8%;242例肝内胆肝细胞癌淋巴结转移率由高到低依次为:肝十二指肠韧带淋巴结转移36例,占85.7%,贲门-胃小弯-胃左淋巴结组19例,占45.2%,胰头后方淋巴结组18例,占42.8%等;3在发生淋巴结转移的42例患者中,组织学分型为高-中分化癌的有33例,低分化型的有9例。结论螺旋CT能够清晰诊断肝内胆管细胞癌淋巴结转移情况,为临床治疗提供可靠的参考,值得推广应用。
[Abstract]:Objective to investigate the CT features of lymph node metastasis in intrahepatic cholangiocarcinoma. Methods 86 patients with lymph node metastasis of intrahepatic cholangiocarcinoma treated in our hospital from December 2013 to December 2015 were selected and their spiral CT findings were summarized. The size and distribution of metastatic lymph nodes, the density of ICC metastatic lymph nodes and the relationship between lymph node metastasis and the degree of tumor differentiation were observed. The lymph node metastasis rate of 242 cases of intrahepatic cholangiocarcinoma was 36 cases (85.7%) with lymph node metastasis of hepatoduodenal ligament, 19 cases (45.2%) of cardia, small curvature of stomach and left gastric lymph node group, 18 cases of posterior lymph node group of pancreatic head. In 42.8% of 42 patients with lymph node metastasis, 33 cases had well-differentiated carcinoma and 9 cases had low differentiation type. Conclusion Spiral CT can clearly diagnose lymph node metastasis in intrahepatic cholangiocarcinoma. It provides reliable reference for clinical treatment and is worth popularizing.
【作者单位】：山东省医学科学院放射医学研究所;山东省交通医院CT室;济南军区总医院;
【分类号】：R735.8;R730.44

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