摘要
目的:评价螺旋CT对肝门胆管癌的诊断价值。资料与方法:16例肝门胆管癌行螺旋CT平扫及动态增强扫描,并与手术及病理对照分析。结果:典型表现为肝内胆管扩张及肝门区肿块,大部分肝门肿块表现为中等程度强化,动态增强扫描肿块逐渐强化。大部分肿瘤经手术切除。病理结果12例为中、高分化腺癌,4例为低分化腺癌。结论:螺旋CT平扫及动态增强扫描对显示肝门胆管癌的形态特征和提高诊断准确性有重要意义。
Objective： To assess the diagnostic value of CT in the diagnosis of hilar cholangiocarcinoma. Materials and Methods： Sixteen patients of hilar cholangiocarcinoma underwent CT plain and dynamic contrast enhanced scan. An analysis was done in comparison with surgery and pathology. Results： The typical CT findings of hilar cholangiocarcinoma were the high-grade intrahepatic ductal dilatation and hilar mass. Most masses usually enhanced from moderate degree to progressive enhancement on dynamic contrast enhanced images. Many tumors were resected in the surgery. The tumors showed 12 cases were moderate to high differentiate adenocarcinoma, 4 cases were low differentiated adenocarcinoma. Conclusion： Plain spiral CT and dynamic contrast enhancement scan have great value in showing the morphological features and improving the diagnosis of hilar cholangiocarcinoma.
出处
《中国临床医学影像杂志》
CAS
北大核心
2005年第11期631-633,共3页
Journal of China Clinic Medical Imaging
