MSCT对肝外型肝癌的影像诊断
MSCT Diagnosis of Pedunculated Hepatocellular Carcinoma
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摘要: 目的:探讨MSCT对肝外型肝癌的影像诊断。方法:搜集经手术病理证实的肝外型肝癌12例,其中男性8例,女性4例,年龄19~56岁,平均年龄37.5岁。所有病例均行CT平扫、增强及三维重建。分析MSCT三维重建对肝外型肝癌的诊断价值。结果:在本组12例肝外型肝癌中,8例存在肝硬化。肿块位于肝左叶旁6例,肝右叶旁5例,尾状叶旁1例;肿块5例以囊变为主,7例以实性部分为主,少有囊变;动脉期MSCTA显示6例由肝右动脉供血,4例由肝左动脉供血,1例由胃右动脉供血,1例由胃十二指肠动脉供血。本组12例均未见门静脉瘤栓形成。结论:MSCT三维重建可以显示肝癌的供血动脉,对肝外型肝癌有重要的诊断价值。Abstract: Objective:To invetigate the MSCT features of pedunculated hepatocellular carcinoma.Methods:12 cases of pedunculated hepatocellular carcinoma proved by angiography were collected,including 8 males and 4 female aged from 19 to 56 years old,the average age is 37.5 years old.All patients had underwented CT scan,enhance and three-dimensional reconstruction.To analysis of three-dimensional reconstruction of MSCT for diagnosis of pedunculated hepatocellular carcinoma.Result:In this group of 12 cases of pedunculated hepatocellular carcinoma,8 cases showed cirrhosis of the liver tumor is located beside the left lobe of lver in 6 cases,right lobe of liver adjacent to 5 cases,1 case next to the caudate lobe;5 cases with cystic mass in the main,7 cases with solid part of the main rare cystic;Arterial phase MSCTA showed 6 cases of blood from the right hepatic artery,4 cases of blood from the left hepatic artery,1 case from the right gastric artery,1 case from the stomach and duodenum artery.12 patients in this group were no portal vein tumor thrombus formation.Conclusion:Three-dimensional reconstruction of MSCT can show feeding arters of liver cancer,which has important diagnosis value of pedunculated hepatocellular carcinoma.