首页|儿童肝母细胞瘤的CT特征与病理基础

儿童肝母细胞瘤的CT特征与病理基础

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目的 探讨儿童肝母细胞瘤CT的特征表现及其病理基础.方法 回顾分析27例患儿经手术和/或穿刺病理证实为肝母细胞瘤的CT图像.结果 27例肿块大小不一,最大径大于10cm者19例且凸向肝外生长;19例跨叶生长;24例肿瘤发生不同程度坏死(24/27);8例肿瘤内出现斑点状、砂粒状、片状钙化(8/27);10例肿瘤内部出血(10/27);增强扫描动脉期肿块呈不均质中等度强化,静脉期及延迟期强化逐渐消退;20例肿瘤对周围毗邻血管(肝右、中、左静脉、下腔静脉等)推压(20/27),3例肿瘤发生远处转移(3/27).结论 肝母细胞瘤发病率低,但结合其发病年龄、AFP值及CT特征性表现(肝脏巨大肿块,常凸出肝外,坏死、出血常见,肿块呈明显不均质强化),CT特征对临床医师制定治疗方案有重要的临床价值.
CT Features and Pathological Basis of Neuroblastoma in Children
Objective To explore the CT features and pathological basis of hepatoblastoma.Methods 27 cases with hepatoblastoma confirmed by operation and/or pathology were retrospectively analyzed,including the CT examination data.Results The masses were various in size,the largest diameter larger than 10cm in 19 cases and protruding extrahepatic growth;Cross-leaf growth in 19 cases;Different degrees of necrosis in 24 cases(24/27);Spotted,sand-grained,flaky calcification in 8 cases(8/27);Internal haemorrhage in 10 cases(10/27);Heterogeneous and moderate enhancement in arterial phase,and gradual regression in venous phase and delayed phase.The adjacent blood vessels(right,middle,left hepatic vein,inferior vena cava,etc.)were pressed in 20 cases(20/27),and distant metastasis occurred in 3 cases(3/27).Conclusion The incidence of hepatoblastoma is very low,but it is generally easy to make an accurate diagnosis according to the age of onset,the value of AFP and the characteristics of CT(Liver huge mass with protrusive extrahepatic growth,internal necrosis,and hemorrhage,significant heterogeneous enhancement),which is of important value for clinicians to choose treatment plans.

HepatoblastomaChildrenCT(Computed Tomography)Pathology

刘燕、侯崇智、景彦博、郝跃文

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西电集团医院医学影像科(陕西西安 710077)

西安市儿童医院普外一科(陕西西安 710003)

西安市儿童医院影像科(陕西西安 710003)

肝母细胞瘤 儿童 计算机体层摄影术 病理

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2023-JC-YB-635

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(10)