肝内周围型胆管细胞癌CT和MRI诊断及病理基础研究.pdfVIP

# 1072 # 2004 10 38 10 Chin J Radiol, Octob r 2004, Vol 38, No. 10 ## CT MRI 李绍林 张雪林 陈燕萍 陈斌 苍鹏 = ( IHPCC) CT MRI IHPCC 32 , 29 CT , 5 MR , 2 MR CT 18 7 4 , 3 13 ( 4418% ) 8 ( 2716% ) ; 7 ( 2411% ) 8 ( 2716% ) 5 ( 1712% ) , , , IHPCC , = ; ; ; X ; ; The diagnosis of intrahepatic peripheral cholangiocarcinoma by CT and MRI with the correlation of pathological findings LI Shao-lin, ZHANG X ue-lin , CH EN Yan-p ing, CHEN Bin, CANG Peng1 Diagnostic Imaging Cente , N anf ang H osp ital , the Fi st Milita y Medical Unive sity , Guangzhou 510515 , China = Abstract Objective To study th imaging f atur s of intrah patic p riph ral cholangiocarcinoma ( IHPCC) on th CT, MRI and th corr lation of th s f atur s with histopathologic findings1Methods Thirty-two pati nts ( 17 mal s and 15 f mal s ) with pathologically prov n IHPCC w r r vi w d r trosp ctiv ly1 CT conv ntional and dynamic nhanc m nt scans w r p rform d in 29 pati nts1 MR imaging w r obtain d in fiv pati nts, and dynamic contrast- nhanc d T-w ight d imaging was p rform d in 2 cas s1 Results 24 l sions 1 ( 75% ) w r locat d in th l ft lob and 8 l sions ( 25% ) in th right lob 1 According to th pathological typ s, mass-typ was found in 18 cas s ( 5613% ) , infiltrativ -typ in 7 cas s ( 2119% ) , and intracavitary-typ in 4 cas s ( 1215% ) 1 In thr pati nts th tumors w r not d finabl at any imaging phas 1 Th shap of tumor was circular, lobulat d, or irr gular, and th margins w r clouding1 No contrast nhanc m nt ( 13 cas s) or mild or mod rat rim-lik nhanc m nt ( 8 cas s) w r th most fr qu nt nhanc m nt patt rns obs rv d in arly s