| CT扫描肝细胞癌边缘血管与肿瘤转移和预后的关系 |
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| 引用本文： | 唐震,巫北海,韩丹.CT扫描肝细胞癌边缘血管与肿瘤转移和预后的关系[J].湛江医学院学报,2002,20(3):182-183. |
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| 作者姓名： | 唐震 巫北海 韩丹 |
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| 作者单位： | [1]广东医学院放射科，广东湛江52400l [2]西南医院 [3]昆明医学院第一附属医院CT室 |
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| 基金项目： | 广东省卫生厅资助课题 (A1 999475)，广东省教育厅资助课题 (GK0 1 0 5) |
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| 摘 要： | 目的：采用CT扫描研究肝细胞癌边缘血管和肿瘤发生转移的关系，以探讨预测肝癌发生转移潜在可能性。方法：134例经手术病理证实的肝细胞癌患者，术前全部进行CT常规扫描和动态增强扫描，对肿瘤及其周组织血管计数，并将CT表现与病理结果以及患者随访情况进行比较分析。结果：(1)肿瘤边缘重度强化组发生转移的机会明显高于轻中度强化组；(2)肿瘤边缘出现血管者转移发生率明显高于无血管者；(3)肿瘤边缘强化程度与镜下血管计数呈正相关。结论：可以从肝细胞癌边缘血管、增强程度来判断肿瘤是否发生潜在转移。
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| 关 键 词： | CT扫描 肝细胞癌 边缘血管 肿瘤转移 预后 |
| 文章编号： | 1005-4057(2002)-03-0182-02 |
| 修稿时间： | 2001年11月5日 |
Relationship between peritumor vessels in CT imaging of hepatocellular carcinoma and its metastasis |
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| TAN Zhen,WU Bei hai,HAN Dan.Relationship between peritumor vessels in CT imaging of hepatocellular carcinoma and its metastasis[J].Journal of Guangdong Medical College,2002,20(3):182-183. |
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| Authors: | TAN Zhen WU Bei hai HAN Dan |
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| Abstract: | Objective:To study the relationship of peritumor vessels in CT imaging of hepatocellular carcinoma (HCC)to its metastasis Methods:A total of 134 patients with HCC received preoperatively CT plain and dynamic contrast scans Intratumor and peritumor vessels were counted CT imaging,histopathological result and follow up information were analyzed Results:The metastatic rates in patients with heavy enhancing tumors and peritumor vessels were much higher than those with mild or moderate enhancement and without peritumor vessels There was a positive correlation between the enhancement degree of neoplastic margin and microscopic vessel density Conclusion:It is suggested that peritumor vessels and enhancing degree can be used to judge the metastatic potential of HCC |
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| Keywords: | hepatocellular carcinomas blood vessel tomography X ray computed |
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