摘要
目的探讨肝母细胞瘤的临床及CT表现,评价其临床应用价值。方法结合文献回顾性分析12例经手术及病理证实的肝母细胞瘤的临床和CT表现。结果肿瘤主体位于肝右叶8例,肝左叶3例,左右叶同时受累1例。4例肿瘤突出于肝表面生长。12例CT均表现单发巨大类圆形低密度肿块,6例可见完整包膜,4例肿块内可见不规则钙化,6例肝静脉、门静脉或肝脏周围器官受压移位,1例发生肝内多发转移,2例发生肺部多发转移,1例发生肝门区、腹膜后多发淋巴结转移及门脉癌栓形成。结论小儿肝母细胞瘤的CT表现有其特征性,CT能较好显示肿瘤的形态、大小及对血管的侵犯情况,对其早期诊断和预后判定有重要价值。
Objective To study the clinical features and CT appearances of Hepatoblastoma （HB） and valuate its clinical value. Methods The CT findings and clinical data of the 13 pathology and surgery confirmed HB were retrospectively analyzed. Results 8 tumors involved the fight lobe, 3 involved the left lobe, linvoved both liver lobes, 4 tumors evaginated the liver surface. All the CT findings were large single well-circumscribed round mass, 6 with pseudocapsule, 4 with irregular calcification, 6 with hepatic vein, hepatic portal vein and other organs compressed displacemet, lwith intrahepatic multiple metastases, 2 with Pulmonary multiple metastases, 1 with hepatic hilar region, retro peritoneum multiple lymph node metastasis and portal vein cancer embolus. Conclusion HB have some characteristic CT manifestations. CT scan well display the tumor＇s shape and size, provide information of vessels. CT was helpful in the diagnosis, monitoring and follow-up in HB patients.
出处
《中国CT和MRI杂志》
2012年第3期56-59,共4页
Chinese Journal of CT and MRI
