| 肝细胞癌影像学表现与转移的关系 |
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| 引用本文： | 唐震,巫北海,韩丹.肝细胞癌影像学表现与转移的关系[J].湛江医学院学报,2002,20(2):89-90. |
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| 作者姓名： | 唐震 巫北海 韩丹 |
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| 作者单位： | [1]广东医学院附属医院放射科，广东湛江524001 [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：从影像学表现预测肝细胞癌(HCC)发生转移潜在可能性。方法2134例经手术病理证实的HCC患者，术前全部进行CT常规扫描和动态增强扫描。对肿瘤及瘤周组织进行评价、分级；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)肿瘤直径大于3cm者发生转移的机会明显高于3cm以下者；(2)重度增强发生转移的可能性明显高于轻中废增强；(3)出现门静脉癌栓、动静脉瘘和病灶周围肿瘤血管者发生转移的机会明显高于无上述表现者。结论：本文结果提示，可从HCC肿瘤大小、增强程度和一些增强CT表现来判断肿瘤是否发生潜在转移。
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| 关 键 词： | 肝细胞癌 影像学表现 转移 免疫组织化学 |
| 文章编号： | 1005-4057(2002)-02-0089-02 |
| 修稿时间： | 2001年7月10日 |
Relationship of imaging to metastasis in hepatocellular carcinoma |
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| TAN Zhen,WU Bei hai,HAN Dan,et al.Relationship of imaging to metastasis in hepatocellular carcinoma[J].Journal of Guangdong Medical College,2002,20(2):89-90. |
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| Authors: | TAN Zhen WU Bei hai HAN Dan |
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| Abstract: | Objective: To study the question whether CT imaging predicts the potential metastasis in hepatocellular carcinoma (HCC) Methods: A total of 134 patients with HCC received preoperatively CT plain and dynamic contrast scans The neoplasms and surrounding tissue were estimated and graded by pathologist CT imaging,histopathological result and follow up information were analyzed Results:The incidences of metastases in patients with tumor diameter 3 cm or more and heavy enhancement were much higher than those with diameter less 3cm and mild or moderate enhancement There was a high metastatic rate in subjects with cancer emboli in the portal vein,arteriovenous fistulae and peritumor vascularization Conclusion: Tumor size,enhancing degree and other contrast appearances could be used to judge the metastatic potential of HCC |
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| Keywords: | hepatocellular carcinoma immunohistochemistry computed tomography(CT) |
| 本文献已被 CNKI 维普 等数据库收录！ |
