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超声诊断周围型肝内胆管细胞癌

毛枫 李超伦 袁海霞 王文平

中国临床医学2011,Vol.18Issue(6):845-846,2.
中国临床医学2011,Vol.18Issue(6):845-846,2.

超声诊断周围型肝内胆管细胞癌

Gray-Scale Ultrasound Diagnosis of Peripheral Intrahepatic Cholangiocarcinoma

毛枫 1李超伦 1袁海霞 1王文平1

作者信息

  • 1. 复旦大学附属中山医院超声诊断科,上海200032
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摘要

Abstract

Objective:To investigate the value of ultrasound in the diagnosis of the peripheral intrahepatic cholangiocarcinoma (ICC). Methods: The clinical data of eighty-four ICCs confirmed pathologically were retrospectively analyzed. For each lesion, the size, boundary, shape, as well ad echo were evaluated. The clinical manifestation and laboratory examination were also taken into consideration to give a diagnosis. Results- The maximum diameter of the tumors ranged from 20mm to 130 mm. Sev-enty-eight(92. 8%) cases had single lesion, and 6(7. 2%) cases had multi lesions. Of all lesions, 56(60. 9%) tumors showed hypoecho, 75(81. 5%) showed inhomogenrous echo, 70(76. 1%) showed indefinite boundaries, 55(59. 8%) showed irregular shape, hepatitis B surface antigen (HBsAg) was positive in 15(17. 9%) cases, Alphafetoprotein (AFP) elevated in 20 (23. 8%) cases, and carbohydrate antigen 19-9 (CA19-9) elevated in 72(85. 7%) cases. Fifty(59. 5%) cases had biliary tract surgery. The accuracy rate of the gray-scale ultrasound was 85. 7%. Conclusions: The gray-scale ultrasound play an important role in diagnosing the peripheral intrahepatic cholangiocarcinoma.

关键词

超声诊断/周围型胆管细胞癌/临床表现

Key words

Ultrasound diagnosis/ Intrahepatic cholangiocarcinoma/ Clinical manifestation

分类

医药卫生

引用本文复制引用

毛枫,李超伦,袁海霞,王文平..超声诊断周围型肝内胆管细胞癌[J].中国临床医学,2011,18(6):845-846,2.

基金项目

上海市重点学科建设项目(编号:NoB112) (编号:NoB112)

中国临床医学

OACSTPCD

1008-6358

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