摘要
目的探讨CT在儿童肝母细胞瘤(hepatoblastoma,HB)临床诊断表现及误诊分析。方法选取2008年1月至2016年9月来我院接受治疗并经病理活检确诊为肝母细胞瘤患者14例的CT影像资料作为研究样本,分析CT在临床诊断的表现和出现误诊的原因。结果术前确诊14例HB患者中有5例为误诊,误诊病例为肝细胞癌2例,肝未分化胚胎肉瘤1例,肝血管内皮细胞瘤1例,肝内占位1例。结论CT在诊断儿童肝母细胞瘤具有一定临床价值,早期诊断时结合该疾病临床特征,可更好提高诊断准确率,防止误诊发生。
Objective To investigate the clinical diagnosis and misdiagnosis of CT in children with HB(hepatoblastoma).Methods In our hospital from January 2008~2016 year in September in our hospital treated and diagnosed by pathology CT data of 14 patients with hepatoblastoma as research samples,analysis of CT in clinical diagnosis and misdiagnosis reasons of per-formance.Results A total of 14 cases were diagnosed as HB before operation,5 cases were misdiagnosed,2 cases of hepatocellular carcinoma,1 cases of undifferentiated embryonal sarcoma,1 cases of hepatic vascular endothelial tumor,1 cases of hepatic space occupying lesion.Conclusion CT has certain clinical value in the diagnosis of children with hepato-cellular carcinoma.Early diagnosis combined with the clinical characteristics of the dis-ease can improve the accuracy of diagnosis and prevent misdiagnosis.
作者
李钱程
LI Qian-cheng(Xuzhou Children's Hospital,Xuzhou 221000,Jiangsu Province,China)
出处
《中国CT和MRI杂志》
2020年第11期107-108,176,F0002,共4页
Chinese Journal of CT and MRI
