检验医学与临床2017，Vol.14Issue(22)：3358-3359,3362,3.DOI:10.3969/j.issn.1672-9455.2017.22.029
不伴有周围胆管扩张肝内胆管细胞癌的CT表现
CT features of intrahepatic cholangiocarcinoma without intrahepatic bile duct dilatation
周海飞 1柏根基 1陶维静 1陈伟1
作者信息
- 1. 南京医科大学附属淮安第一医院影像中心 ,江苏淮安223001
- 折叠
摘要
Abstract
Objective To investigate the CT features of intrahepatic cholangiocarcinoma (ICC)without peripheral bile duct dila-tion in order to improve the understanding on this disease .Methods The CT manifestations and clinical data in 14 cases of ICC without peripheral bile duct dilation were retrospectively analyzed .Results Single lesion was in 12 cases and multiple lesions in 2 cases .The tumor masses were all located under the liver capsule ,and manifested by uneven low density focus in liver .There was no obvious calcification or stone shadow .There were 2 cases with clear boundary ,12 cases with unclear boundary ,6 cases with hepatic capsule depression and 2 cases with hepatic lobe atrophy .Abdominal and retroperitoneal lymph node enlargement was in 8 cases , portal vein tumor thrombus was in 2 cases and hepatic vein tumor thrombus was in 1 case .The edge ring enhancement in arterial phase and the filled enhancement until delayed phase were in 8 cases ;ring enhancement in arterial phase and middle small patchy en-hancement in portal venous and delayed phase were in 3 cases ;3 cases showed island enhancement or inhomogeneous enhancement complicating slight delayed enhancement .The pathological grading was carried out in 8 cases ,including 3 cases of moderately differ-entiated adenocarcinoma ,3 cases of moderately and poorly differentiated adenocarcinoma and 2 cases of poorly differentiated adeno-carcinoma .Conclusion The CT features of ICC without peripheral bile duct dilation have a certain characteristics ,proficiently mas-tering its imaging features is helpful to improve the diagnostic level of this disease .关键词
电子计算机断层扫描/肝内胆管细胞癌/胆管扩张Key words
CT/cholangiocarcinoma/bile duct dilatation引用本文复制引用
周海飞,柏根基,陶维静,陈伟..不伴有周围胆管扩张肝内胆管细胞癌的CT表现[J].检验医学与临床,2017,14(22):3358-3359,3362,3.
